Table aevs_carrier_codes_for_other_health_coverage

Table: aevs_carrier_codes_for_other_health_coverage

carrier_code last_change_date status_code ohc_code carrier_name_1 carrier_name_2 carrier_addr_2 carrier_city carrier_state carrier_zip_code carrier_phone plan_type

A001 20211026 A P ALLEGIANCE BENEFIT PLAN None PO BOX 3018 MISSOULA MT 598063018 8008771122 PPO

A002 20200325 A D AVALON INSURANCE COMPANY None PO BOX 772610 HARRISBURG PA 171770001 8772343853 PDP

A007 20150824 A F AMERIVANTAGE None PO BOX 61010 VIRGINIA BEACH VA 234661010 8668054589 MAP

A008 20150824 A F AETNA MEDICARE CLAIMS PO BOX 14079 LEXINGTON KY 405124079 8006240756 MAP

A009 20210920 A D AMERIVANTAGE RX BASIC None PO BOX 61010 VIRGINIA BEACH VA 234661010 8668054589 PDP

A010 20160914 A L AFLAC DENTAL None 1932 WYNNTON RD COLUMBUS GA 319990001 8009923522 PPO

A011 20220914 A F AETNA MEDICARE ASSURE None PO BOX 981106 EL PASO TX 799981106 8006240756 MAP

A012 20220914 A F AETNA MEDICARE ASSURE None PO BOX 981106 EL PASO TX 799981106 8006240756 MAP

A013 20220914 A F AETNA MEDICARE ASSURE 1 None PO BOX 981106 EL PASO TX 799981106 8664091221 MAP

A014 20220914 A F AETNA MEDICARE ASSURE PLAN None PO BOX 981106 EL PASO TX 799981106 8332230614 MAP

A015 20220118 A F AETNA MEDICARE CHOICE PLAN None PO BOX 14770 LEXINGTON KY 405124770 8335706670 MAP

A017 20220120 A F AETNA MEDICARE ELITE PLAN None PO BOX 14770 LEXINGTON KY 405124770 8335706670 MAP

A018 20230831 A F AETNA MEDICARE ELITE None PO BOX 14088 LEXINGTON KY 405124088 8335706670 MAP

A020 20220121 A F AETNA MEDICARE VALUE PLUS PLAN None PO BOX 14770 LEXINGTON KY 405124770 8335706670 MAP

A021 20150824 A P ADVENTIST RISK MANAGEMENT INC ATTN HEALTH CLAIMS PO BOX 16203 LUBBOCK TX 794906203 8882764732 PPO

A022 20220225 A F ALLWELL MEDICARE None PO BOX 3060 FARMINGTON MO 636403822 8555659518 MAP

A023 20220914 A F AETNA MEDICARE ASSURE PLAN None PO BOX 981106 EL PASO TX 799981106 8332230614 MAP

A024 20220914 A F AETNA MEDICARE ASSURE PLAN None PO BOX 981106 EL PASO TX 799981106 8332230614 MAP

A027 20220118 A F AARP MEDICARE ADVANTAGE CHOICE None PO BOX 30607 SALT LAKE CITY UT 841300607 8666277806 MAP

A028 20220118 A F AARP MEDICARE ADVANTAGE CHOICE None PO BOX 30607 SALT LAKE CITY UT 841300607 8006434845 MAP

A030 20190626 A P ALLWAYS HEALTH PARTNERS None PO BOX 853908 RICHARDSON TX 750853908 8554444677 HMO

A031 20190626 A P ALLWAYS HEALTH PARTNERS PPO None PO BOX 852099 RICHARDSON TX 750852099 8554444647 PPO

A032 20210907 A F ASPIRE HEALTH PLAN None PO BOX 5490 SALEM OR 973040490 8315744938 MAP

A033 20210907 A P ASURIS NORTHWEST HEALTH PLAN None PO BOX 1106 LEWISTON ID 835011106 8005418981 PPO

A034 20230118 A F AETNA MEDICARE ASSURE PREMIER None PO BOX 981106 EL PASO TX 799981106 8443620934 MAP

A035 20220914 A F AETNA MEDICARE ASSURE PREMIER None PO BOX 981106 EL PASO TX 799981106 8443620934 MAP

A037 20161228 A P AMA INSURANCE AGENCY ATTN HEALTH CLAIMS 200 N LA SALLE ST # 200 CHICAGO IL 606011014 8002622797 PPO

A038 20220914 A F AETNA MEDICARE ASSURE PREMIER None PO BOX 981106 EL PASO TX 799981106 8443620934 MAP

A039 20220118 A F AARP MEDICARE ADVANTAGE CHOICE None PO BOX 30607 SALT LAKE CITY UT 841300607 8006434845 MAP

A040 20220118 A F AARP MEDICARE COMPLETE PLAN 1 None PO BOX 30607 SALT LAKE CITY UT 841300607 8773702843 MAP

A041 20220118 A F ASTIVA HEALTH VALUE None PO BOX 3845 COSTA MESA CA 926283845 9493938839 MAP

A042 20220120 A F AARP MEDICARE ADVANTAGE PLAN 1 None PO BOX 30607 SALT LAKE CITY UT 841300607 8009509355 MAP

A043 20230831 A F AARP MEDICARE ADV CHOICE (WA) None PO BOX 30769 SALT LAKE CITY UT 841300769 8447120752 MAP

A044 20161228 A P AMERICAN NATIONAL INS CO ATTN HEALTH CLAIMS 1 MOODY PLZ GALVESTON TX 775507947 8008996803 PPO

A045 20190722 A P AMERICAN POSTAL WORKERS UNION ATTN HEALTH CLAIMS PO BOX 1358 GLEN BURNIE MD 210601358 8002222798 PPO

A047 20220120 A F AARP MEDICARE ADV CHOICE (PA) None PO BOX 30607 SALT LAKE CITY UT 841300607 8006434845 MAP

A048 20210907 A P AMERIHEALTH ATTN HEALTH CLAIMS 1901 MARKET ST PHILADELPHIA PA 191031480 8004222457 PPO

A049 20220121 A F AARP MEDICARE COMPLETE None PO BOX 30607 SALT LAKE CITY UT 841300607 8006434845 MAP

A050 20220119 A F ALLWELL MEDICARE None PO BOX 10420 VAN NUYS CA 914100420 8009777522 MAP

A051 20220120 A F AARP MEDICARE ADVANTAGE PLAN 2 None PO BOX 30607 SALT LAKE CITY UT 841300607 8773702843 MAP

A052 20220121 A F ALIGNMENT HEALTH PLAN PLATINUM None 1100 W TOWN AND COUNTRY RD STE 1600 ORANGE CA 928684698 8666342247 MAP

A053 20230830 A F AARP MEDICARE ADVANTAGE PLAN None PO BOX 30769 SALT LAKE CITY UT 841300769 8669771977 MAP

A055 20220121 A F AMERIVANTAGE DIABETES CARE None PO BOX 61010 VIRGINIA BEACH VA 234661010 8888162790 MAP

A056 20220301 A F AARP MAP WALGREENS (GA) None PO BOX 30607 SALT LAKE CITY UT 841300607 8006434845 MAP

A057 20220225 A F AARP MEDICARE ADVANTAGE PLAN 1 None PO BOX 30607 SALT LAKE CITY UT 841300607 8006434845 MAP

A058 20220225 A F AARP MAP WALGREENS None PO BOX 30607 SALT LAKE CITY UT 841300607 8006434845 MAP

A059 20220914 A F AETNA MEDICARE DUAL COMPLETE None PO BOX 981106 EL PASO TX 799981106 8332230617 MAP

A061 20180511 A P AUTOMOTIVE IND WELFARE FUND ATTN HEALTH CLAIMS PO BOX 23263 OAKLAND CA 946232363 5108362484 PPO

A062 20220225 A F AETNA MEDICARE PREMIER None PO BOX 14770 LEXINGTON KY 405124770 8006334227 MAP

A063 20220225 A F AETNA MEDICARE PREMIER (PA) None PO BOX 14770 LEXINGTON KY 405124770 8335706670 MAP

A064 20220225 A F ATRIO BRONZE RX None PO BOX 8030 KALISPELL MT 599041030 5416728620 MAP

A065 20220225 A F AETNA MEDICARE SELECT PLAN None PO BOX 14770 LEXINGTON KY 405124770 8335706670 MAP

A066 20220301 A F AETNA MEDICARE VALUE PLAN None PO BOX 14770 LEXINGTON KY 405124770 8335706670 MAP

A067 20220301 A F AMERIVANTAGE CHOICE None PO BOX 61010 VIRGINIA BEACH VA 234661010 8337131307 MAP

A068 20220225 A F AETNA MEDICARE PRIME PLAN None PO BOX 14770 LEXINGTON KY 405124770 8882689800 MAP

A069 20220301 A F AARP MAP PATRIOT None PO BOX 30607 SALT LAKE CITY UT 841300607 8006334227 MAP

A071 20220301 A F AARP MAP PATRIOT (PA) None PO BOX 30607 SALT LAKE CITY UT 841300607 8006334227 MAP

A073 20220330 A F AETNA MEDICARE VALUE PLAN (IL) None PO BOX 14770 LEXINGTON KY 405124770 8335706670 MAP

A074 20220330 A F ALLCARE ADVANTAGE FOCUS RX None 1701 NE 7TH ST GRANTS PASS OR 975261319 3054474458 MAP

A075 20220330 A F AMERIVANTAGE PLUS None PO BOX 61010 VIRGINIA BEACH VA 234661010 8668054589 MAP

A077 20220330 A F AETNA MEDICARE EAGLE PLAN None PO BOX 14770 LEXINGTON KY 405124770 8335706670 MAP

A079 20150824 A P AFFORDABLE BENEFIT ADMIN ATTN HEALTH CLAIMS PO BOX 10787 BURBANK CA 915100787 8003500148 PPO

A080 20220330 A F AETNA ADVANTRA None PO BOX 14770 LEXINGTON KY 405124770 8335706670 MAP

A082 20220510 A F AETNA ADVANTRA SILVER None PO BOX 14770 LEXINGTON KY 405124770 8335706670 MAP

A085 20220510 A F AARP MAP MOSAIC CHOICE None PO BOX 30607 SALT LAKE CITY UT 841300607 8006434845 MAP

A086 20220510 A F AARP MAP PLAN 1 (NY) None PO BOX 30607 SALT LAKE CITY UT 841300607 8006434845 MAP

A087 20220602 A F AARP MEDICARE ADVANTAGE CHOICE None PO BOX 30607 SALT LAKE CITY UT 841300607 8006434845 MAP

A088 20220610 A F AGERIGHT ADVANTAGE PREMIER None PO BOX 4440 GLEN ALLEN VA 230584440 8448546885 MAP

A089 20220610 A F ALLINA HEALTH AETNA MEDICARE None PO BOX 14770 LEXINGTON KY 405124770 8335706671 MAP

A090 20220914 A F AETNA MEDICARE DUAL PREFERRED None PO BOX 981106 EL PASO TX 799981106 8006240756 MAP

A091 20220914 A F AETNA MEDICARE PRIME PLAN None PO BOX 981106 EL PASO TX 799981106 8664091221 MAP

A092 20220914 A F ALLWELL DUAL MEDICARE None 550 N MERIDIAN ST STE 101 INDIANAPOLIS IN 462041208 8332024704 MAP

A093 20220914 A F ALLWELL DUAL MEDICARE HARMONY None 7900 W IH 10 STE 300 SAN ANTONIO TX 782304715 8337170806 MAP

A095 20220914 A F ALLWELL MEDICARE NURTURE None PO BOX 10420 VAN NUYS CA 914100420 8779358023 MAP

A096 20220914 A F AMERIVANTAGE DUAL COORDINATIO None PO BOX 61010 VIRGINIA BEACH VA 234661010 8442095407 MAP

A097 20220914 A F AMERIVANTAGE DUAL COORDINATIO None PO BOX 62947 VIRGINIA BEACH VA 234662947 8668054589 MAP

A099 20220914 A F AMERIVANTAGE DUAL PREMIER None PO BOX 62947 VIRGINIA BEACH VA 234662947 8774110929 MAP

A100 20220914 A F AMERIVANTAGE SELECT PLUS None PO BOX 61010 VIRGINIA BEACH VA 234661010 8337131304 MAP

A102 20220914 A F ANTHEM MEDIBLUE DUAL ADVANTAG None PO BOX 60007 LOS ANGELES CA 900600007 8448793610 MAP

A103 20220914 A F ANTHEM MEDIBLUE DUAL ADVANTAG None PO BOX 60007 LOS ANGELES CA 900600007 8662420251 MAP

A104 20220914 A F ANTHEM MEDIBLUE DUAL ADVANTAG None PO BOX 60007 LOS ANGELES CA 900600007 8448876355 MAP

A105 20220914 A F ASCENSION COMPLETE PROVIDENCE None PO BOX 10420 VAN NUYS CA 914100420 8336230771 MAP

A106 20220914 A F ASCENSION COMPLETE ST. VINCEN None PO BOX 10420 VAN NUYS CA 914100420 8335250824 MAP

A109 20221208 A F AARP MEDICARE ADVANTAGE CHOIC None PO BOX 30607 SALT LAKE CITY UT 841300607 8006434845 MAP

A110 20231212 A F AARP MEDICARE ADVANTAGE OPEN None PO BOX 31362 SALT LAKE CITY UT 841310362 8662617709 MAP

A112 20221208 A F AETNA BETTER HEALTH OF OHIO None 7400 W CAMPUS RD NEW ALBANY OH 430548722 8553640974 MAP

A113 20221208 A F AETNA BETTER HEALTH PREMIER P None 4500 E COTTON CENTER BLVD PHOENIX AZ 850408840 8556765772 MAP

A114 20221208 A F AETNA MEDICARE ADVANTRA PLAN None PO BOX 7405 LONDON KY 407427405 8883606626 MAP

A115 20200922 A P AETNA PPO- EXTERNAL RX None PO BOX 14079 LEXINGTON KY 405124079 8886323862 PPO

A116 20221208 A F AETNA MEDICARE ADVANTRA SILVE None PO BOX 14770 LEXINGTON KY 405124770 8335706670 MAP

A117 20221208 A F AETNA MEDICARE ASSURE PLAN None PO BOX 14088 LEXINGTON KY 405124088 8664091221 MAP

A118 20221208 A F AETNA MEDICARE ASSURE PREMIER None PO BOX 61925 ADAMS NE 68301 8664091221 MAP

A119 20221208 A F AETNA MEDICARE DUAL PREFERRED None PO BOX 981106 EL PASO TX 799981106 8664091221 MAP

A120 20221208 A F AETNA MEDICARE EAGLE PLAN None PO BOX 14770 LEXINGTON KY 405124770 8335706670 MAP

A121 20221208 A F AETNA MEDICARE EXPLORER ELITE None PO BOX 7405 LONDON KY 407427405 8882689800 MAP

A123 20220203 A P AVERA HEALTH PLANS None 5300 S BROADBAND LN SIOUX FALLS SD 571082222 8883222115 PPO

A124 20221208 A F AETNA MEDICARE PREMIER PLAN None PO BOX 7405 LONDON KY 407427405 8335706670 MAP

A130 20230510 A F AETNA MEDICARE SELECTPLAN None PO BOX 14088 LEXINGTON KY 405124088 8006240756 MAP

A131 20221208 A F ALIGN PREMIER None PO BOX 4440 GLEN ALLEN VA 230584440 8443053879 MAP

A132 20221208 A F ALIGNMENT HEALTH PLAN NC DUAL None 2610 NEW BERN AVE STE 100 RALEIGH NC 276101821 8666342247 MAP

A133 20221208 A F ALIGNMENT HEALTH THE ONE None 1100 W TOWN AND COUNTRY RD STE 1600 ORANGE CA 928684698 8666342247 MAP

A134 20221208 A F AMERIGROUP MEDIMEDI PLAN None PO BOX 61010 VIRGINIA BEACH VA 234661010 8006004441 MAP

A135 20221208 A F AMERIHEALTH CARITAS VIP CARE None PO BOX 7139 LONDON KY 407427139 8665335490 MAP

A136 20221229 A F ANTHEM L MAINEHEALTH ADVANTAG None 301C US ROUTE 1 SCARBOROUGH ME 40749701 8668042499 MAP

A138 20221208 A F ANTHEM MEDIBLUEDUALACCESS None PO BOX 60007 LOS ANGELES CA 900600007 8336592531 MAP

A139 20221208 A F ANTHEM MEDICLUE KROGER ACCESS None PO BOX 52077 PHOENIX AZ 850722077 8664389968 MAP

A140 20221208 A F ASCENSION COMPLETE MICHIGAN A None PO BOX 10420 VAN NUYS CA 914100420 8334311356 MAP

A141 20221208 A F ASCENSION COMPLETE SETON ACCE None 5103 KYLE CENTER DR STE 103 KYLE TX 786406164 5125040855 MAP

A142 20221208 A F ASCENSION COMPLETE SETON REWA None PO BOX 10420 VAN NUYS CA 914100420 8337051358 MAP

A143 20221216 A F ALOHACARE ADVANTAGE PLUS None 1357 KAPIOLANI BLVD STE G101 HONOLULU HI 968144550 8089736395 MAP

A144 20221216 A F AMERIVANTAGE DUAL COORDINATIO None PO BOX 61010 VIRGINIA BEACH VA 234661010 8335570950 MAP

A145 20210907 A P ALLIED ADMINISTRATORS ATTN HEALTH CLAIMS 2831 CAMINO DEL RIO S STE 311 SAN DIEGO CA 921083829 6192978235 PPO

A146 20221216 A F ANTHEM MEDIBLUE ACCESS None PO BOX 105187 ATLANTA GA 303485187 8336812636 MAP

A147 20230829 A F ANTHEM MEDIBLUE COORDINATION None PO BOX 60007 LOS ANGELES CA 900600007 8004074627 MAP

A148 20221216 A F ASCENSION COMPLETE AMITA HEAL None PO BOX 10420 VAN NUYS CA 914100420 8332935966 MAP

A149 20221216 A F ASCENSION COMPLETE SAINT THOM None PO BOX 10420 VAN NUYS CA 914100420 8339062876 MAP

A150 20221216 A F ASCENSION COMPLETE SAINT VINC None PO BOX 10420 VAN NUYS CA 914100420 8335250824 MAP

A151 20221216 A F ATRIO SPECIAL NEEDS PLAN None 338 JERICHO TPKE # 135 SYOSSET NY 117914507 5416728620 MAP

A152 20221223 A F AARP MEDICARE ADVANTAGE None PO BOX 29675 HOT SPRINGS NATIONAL AR 719039675 8006434845 MAP

A154 20221223 A F ALTERWOOD ADVANTAGE CHOICE None PO BOX 4175 TIMONIUM MD 210944175 6672629412 MAP

A155 20221227 A F AETNA BETTER HEALTH PREMIER None PO BOX 982970 EL PASO TX 799989270 8666002139 MAP

A156 20230109 A F AETNA MEDICARE PLUS PLAN None PO BOX 14770 LEXINGTON KY 405124770 8002825366 MAP

A157 20230322 A F ALIGNMENT HEALTH PLAN None 2339 W HAMMER LN STOCKTON CA 952093052 8666342247 MAP

A159 20230601 A F AARP MEDICARE ADVANTAGE None PO BOX 30769 SALT LAKE CITY UT 841300769 3392244191 MAP

A160 20230601 A F ALIGNMENT HEALTH THE ONE None 100 W TOWN AND CNTRY RD ST 1600 ORANGE CA 92868 6663422247 MAP

A161 20230601 A F ASCENSION COMPLETE MICHIGAN R None PO BOX 10420 VAN NUYS CA 914100420 6682211339 MAP

A165 20241218 A F ALIGNMENT HLTH ADVANTAGE PPO None 1100 W TOWN AND COUNTRY RD STE 300 ORANGE CA 928684676 8666342247 MAP

A219 20210614 A Q SS&C HEALTH ATTN PRESCRIPTION CLAIMS 210 W 10TH ST KANSAS CITY MO 641051614 8005227487 TPP

A225 20190301 A P AETNA US HEALTHCARE PPO ATTN MEDICAID/MEDI-CAL CLAIMS PO BOX 14079 LEXINGTON KY 405124079 8886323862 PPO

A226 20190301 A L AETNA US HEALTHCARE DENTAL ATTN: DENTAL CLAIMS PO BOX 14094 LEXINGTON KY 405124094 8888023862 PPO

A227 20180511 A P AETNA US HEALTHCARE SNF None PO BOX 981107 EL PASO TX 799981107 8886323862 PPO

A302 20180410 A P ASI None PO BOX 5809 FRESNO CA 937555809 8667771320 PPO

A317 20220203 A P HEALTH SMART #NAME? PO BOX 1014 CHARLESTON WV 253241014 8006248605 PPO

A319 20210907 A P AULTCARE ATTN HEALTH CLAIMS PO BOX 6910 CANTON OH 447060910 8003448858 PPO

A333 20231122 A D AARP MEDICARE RX PREFER UHC None PO BOX 30770 SALT LAKE CITY UT 841300770 8886755575 PDP

A344 20210907 A P NEXCALIBER None PO BOX 802422 DALLAS TX 753802422 8007410185 PPO

A374 20210907 A P ADMINISTRATIVE SOLUTIONS ATTN HEALTH CLAIMS 11373 SOUTHBRIDGE PKWY ALPHARETTA GA 300224469 6783390211 PPO

A427 20210907 A P AMERICAN TRUST ADMINISTRATORS ATTN HEALTH CLAIMS 7223 W 95TH ST STE 301 OVERLAND PARK KS 662126177 8008434121 PPO

A439 20210614 A Q AMERICAN HEALTHCARE ATTN RX CLAIMS 2351 SUNSET BLVD STE 170 # 899 ROCKLIN CA 957654306 8008728276 PPO

A461 20230830 A F ANTHEM MEDIBLUE PRIME None PO BOX 60007 LOS ANGELES CA 900600007 8337073129 MAP

A462 20231017 A F ANTHEM FULL DUAL ADV ALIGNED None PO BOX 61010 VIRGINIA BEACH VA 234661010 8337073129 MAP

A463 20210907 A P MANAGED BENEFIT ADMINISTRATORS ATTN HEALTH CLAIMS PO BOX 57340 MURRAY UT 841570340 9166311225 PPO

A464 20240207 A F ARCADIAN HEALTH PLAN INC None PO BOX 14168 LEXINGTON KY 405124168 45744708 MAP

A465 20231122 A F AETNA BETTER HLTH CA INC None PO BOX 7405 LONDON KY 407427405 8335606670 MAP

A470 20231122 A F ANTHEM BC LIFE AND HEALTH INSURANCE PO BOX 60007 LOS ANGELES CA 900600007 8443096996 MAP

A474 20231122 A F ANTHEM MEDICARE ADVANTAGE None PO BOX 60007 LOS ANGELES CA 900600007 8882119813 MAP

A494 20200325 A P MERITAIN HEALTH ATTN HEALTH CLAIMS PO BOX 853921 RICHARDSON TX 750853921 8007654224 PPO

A515 20150902 A F AETNA MEDICARE None PO BOX 14079 LEXINGTON KY 405124079 4128757207 MAP

A516 20231221 A F AETNA HEALTH OF CA INC. None PO BOX 7405 LONDON KY 407427405 8335706670 MAP

A533 20161228 A P ALASKA TEAMSTERS EMP WELFARE TRUST ATTN HEALTH CLAIMS 520 E 34TH AVE ANCHORAGE AK 995034164 8004784450 PPO

A555 20240208 A F AIDS HEALTHCARE FOUNDATION None PO BOX 46160 LOS ANGELES CA 900460160 8002630067 MAP

A579 20210514 A W AMERITAS VISION ATTN HEALTH CLAIMS PO BOX 82607 LINCOLN NE 685012607 8004875553 PPO

A600 20240207 A F ALIGNMENT HEALTH PLAN None 1100 W TOWN AND COUNTRY RD STE 300 ORANGE CA 928684676 8666342247 MAP

A601 20240208 A F ALIGNMENT HEALTH PLAN None 1100 W TOWN AND COUNTRY RD STE 300 ORANGE CA 928684676 8666342247 MAP

A604 20150826 A L PREMIER ACCESS INSURANCE CO None PO BOX 659010 SACRAMENTO CA 958659010 9169225000 HMO

A613 20161228 A P AMD HEALTH PLAN C/O ZENITH ADMIN INC PO BOX 11252 SAN FRANCISCO CA 94101 None PPO

A672 20210907 A P AUTOMATED GRP ADMIN None 7605 WESTFIELD DR FORT WAYNE IN 468253381 2604896447 PPO

A676 20190301 A P AETNA HEALTH PLANS HMO NORTHERN/SOUTHERN CA PO BOX 14079 LEXINGTON KY 405124079 8006240756 HMO

A678 20210806 A P ADMINISTRATION SYST CORP ATTN HEALTH CLAIMS PO BOX 6392 GRAND RAPIDS MI 495166392 8108517700 PPO

A691 20220203 A P ALLIED BENEFIT SYST INC ATTN HEALTH CLAIMS 200 W ADAMS ST STE 500 CHICAGO IL 606065215 8.00288E+13 PPO

A696 20210514 A W AVESIS INC ATTN VISION CLAIMS PO BOX 38300 PHOENIX AZ 850698300 8008430558 PPO

A718 20211119 A P ASSURED BENEFITS ADMIN ATTN ANGIE CARRASCO 4855 N MESA ST STE 130 EL PASO TX 799125939 8002477114 PPO

A753 20210907 A P ADVANCED BENEFIT SOLUTIONS ATTN DIANE WEILAND-ROGONE PO BOX 71490 PHOENIX AZ 850501009 8884191094 PPO

A754 20220203 A P ADVANTEK BENEFIT ADMINISTRATOR ATTN HEALTH CLAIMS 7370 N PALM AVE STE 101 FRESNO CA 937115782 8665567655 TPM

A755 20201116 A L BLUE CROSS/BLUE SHIELD DENTAL PPO PO BOX 1505 RED BLUFF CA 960801505 8008283677 PPO

A771 20161228 A P AMERA SOUTH ATTN POLLY SIMMS PO BOX 1286 SAVANNAH GA 314021286 9122316959 PPO

A803 20201117 A L ANTHEM BLUE CROSS/BLUE SHIELD ATTN: DENTAL CLAIMS PO BOX 105187 ATLANTA GA 303485187 8778335742 PPO

A805 20210907 A P AVMED HEALTH PLANS None 4300 NW 89TH BLVD GAINESVILLE FL 326065688 8003460231 PPO

A807 20150831 A F ALAMEDA ALLIANCE FOR HEALTH None PO BOX 2460 ALAMEDA CA 945010460 5107474500 HMO

A810 20170221 A P ANTHEM BLUE CROSS BLUE SHIELD None PO BOX 105187 ATLANTA GA 303485187 8666453269 PPO

A811 20200313 A F UNITED HEALTHCARE ATTN:APIPA-CLAIMS PO BOX 5290 KINGSTON NY 124025290 8003484058 MAP

A812 20150213 A F HUMANA ATTN:LOUISVILLEWATERSIDECLAIM PO BOX 14601 LEXINGTON KY 405124601 8004574708 MAP

A813 20150831 A F ATRIO HEALTH PLANS None PO BOX 5490 SALEM OR 973040490 5416728620 MAP

A814 20200313 A F ANTHEM BLUE CROSS None PO BOX 105187 ATLANTA GA 303485187 8882909160 MAP

A815 20150831 A P ALLIED NATIONAL None PO BOX 29186 SHAWNEE MISSION KS 662019186 8.00826E+13 PPO

A816 20200313 A F ANTHEM BLUE CROSS None PO BOX 105187 ATLANTA GA 303485187 8882909160 MAP

A817 20150831 A F ANTHEM BLUE CROSS None PO BOX 105187 ATLANTA GA 303485187 8882909160 MAP

A818 20150902 A F ANTHEM BLUE CROSS None PO BOX 105187 ATLANTA GA 303485187 8882909160 MAP

A819 20150213 A F ANTHEM BLUE CROSS None PO BOX 105187 ATLANTA GA 303485187 8882909160 MAP

A820 20160921 A F ANTHEM BLUE CROSS None PO BOX 105187 ATLANTA GA 303485187 8882909160 MAP

A821 20150213 A F ANTHEM BLUE CROSS None PO BOX 105187 ATLANTA GA 303485187 8882909160 MAP

A822 20220203 A P ASRM None 505 S LENOLA RD STE 231 MOORESTOWN NJ 80571549 8663750775 PPO

A823 20220118 A F ANTHEM MEDIBLUE ACCESS None PO BOX 60007 LOS ANGELES CA 900600007 8556907801 MAP

A999 20150831 A A PROVIDER MEDICARE PART A REGULAR COMPLAINTS 591 N 7TH ST FL 2 SACRAMENTO CA 958110234 9163239693 TPM

B001 20230829 A F BRANDMAN CENTERS FOR SENIOR CA CLAIMS 7150 TAMPA AVE RESEDA CA 913353700 8552273745 MAP

B002 20190723 A P MU BLUE PREFERRED None PO BOX 14116 LEXINGTON KY 405124116 8008425975 PPO

B003 20230831 A F BANNER MEDICARE ADVANTAGE DUA None PO BOX 38549 PHOENIX AZ 850698549 8778743930 MAP

B004 20150831 A P BLUE CROSS OF NEW JERSEY ATTN HEALTH CLAIMS PO BOX 844 NEWARK NJ 71010844 8006244756 PPO

B005 20230830 A F BRANDMAN HEALTH PLAN None PO BOX 17960 ENCINO CA 914167960 8886975662 MAP

B006 20220301 A F BLUEADVANTAGE SAPPHIRE None PO BOX 3686 SCRANTON PA 185050686 8008312583 MAP

B007 20220302 A F BLUECHIP FOR MEDICARE VALUE None PO BOX 3686 SCRANTON PA 185050686 8002670439 MAP

B008 20230831 A F BLUESHIELD INSPIRE None PO BOX 272540 CHICO CA 959272540 8007764466 MAP

B009 20150831 A L CCPOA BENEFITS TRUST FUND ATTN DENTAL CLAIMS 2515 VENTURE OAKS WAY STE 200 SACRAMENTO CA 958334235 9163726676 PPO

B011 20220330 A F BLUE CROSS MEDICARE ADVANTAGE None PO BOX 3686 SCRANTON PA 185050686 8774862048 MAP

B013 20220330 A F BLUEPATHWAY PLAN 1 None PO BOX 3686 SCRANTON PA 185050686 8004468331 MAP

B014 20220330 A F BSW SENIORCARE ADVANTAGE None PO BOX 3686 SCRANTON PA 185050686 8663343141 MAP

B016 20220330 A F BLUE ADVANTAGE COMPLETE None PO BOX 3686 SCRANTON PA 185050686 8882348266 MAP

B019 20201113 A E BLUE SHIELD OF CA VISION None PO BOX 272540 CHICO CA 959272540 8008776372 PPO

B020 20190613 A E BLUE SHIELD OF CA - PED VISION None PO BOX 272540 CHICO CA 959272540 8005416652 PPO

B021 20220510 A F BLUE MEDICARE ESSENTIAL None PO BOX 3686 SCRANTON PA 185050686 8883104110 MAP

B023 20190613 A L BLUE SHIELD OF CA - FEP DENTAL None PO BOX 272540 CHICO CA 959272540 8005416652 PPO

B024 20220510 A F BLUE CROSS MEDICARE ADVANTAGE None PO BOX 3686 SCRANTON PA 185050686 6516625513 MAP

B025 20190613 A L BLUE SHIELD OF CA - PED DENTAL None PO BOX 272540 CHICO CA 959272540 8005416652 PPO

B026 20220510 A F ANTHEM MEDIBLUE COORDINATION None PO BOX 3686 SCRANTON PA 185050686 8553102473 MAP

B027 20190613 A L BLUE SHIELD OF CA - DENTAL HMO None PO BOX 272540 CHICO CA 959272540 8005416652 HMO

B029 20200611 A L BLUE SHIELD OF CA DENTAL PLAN ATTN DENTAL CLAIMS PO BOX 272590 CHICO CA 959272590 8005858111 PPO

B030 20220602 A F BLUE CROSS MEDICARE ADVANTAGE None PO BOX 3686 SCRANTON PA 185050686 8777748592 MAP

B031 20220602 A F COMMUNITY BLUE MEDICARE HMO None PO BOX 3686 SCRANTON PA 185050686 8882345397 MAP

B032 20190613 A L BLUE SHIELD OF CA- FEP DENTAL None PO BOX 272540 CHICO CA 959272540 None HMO

B033 20220602 A F BLUE MEDICARE ADVANTAGE PLUS None PO BOX 3686 SCRANTON PA 185050686 8004468331 MAP

B034 20220610 A F FREEDOM BLUE PPO CLASSIC None PO BOX 3686 SCRANTON PA 185050686 8005508722 MAP

B035 20220914 A F BLUE CROSS MEDICARE ADVANTAGE None 5660 UNIVERSITY PKWY WINSTON SALEM NC 271051312 8778956437 MAP

B036 20220914 A F BLUECARE PLUS None 1 CAMERON HILL CIR STE 2 CHATTANOOGA TN 374020002 8003325762 MAP

B037 20220914 A F BLUEMEDICARE COMPLETE None PO BOX 660295 DALLAS TX 752660295 8009266565 MAP

B040 20221208 A F BANNER MEDICARE ADVANTAGE PRI None PO BOX 38549 PHOENIX AZ 850698549 6024620831 MAP

B042 20201113 A P BLUE CROSS FEP FEDERAL EMPLOYEE PROGRAM PO BOX 105557 ATLANTA GA 303485557 8002849093 PPO

B043 20250114 A P ANTHEM BLUE CROSS None PO BOX 60007 LOS ANGELES CA 900600007 8006776669 PPO

B059 20190723 A P ANTHEM BLUE CROSS OF CA EPO None PO BOX 60007 LOS ANGELES CA 900600007 8558541438 HMO

B061 20200318 A P BLUE CROSS OF WESTERN PA OUT OF STATE CLAIMS PO BOX 697 PITTSBURGH PA 152300697 8002354999 PPO

B062 20200318 A P BLUE CARE NETWORK ATTN HEALTH CLAIMS PO BOX 68737 GRAND RAPIDS MI 495168737 6169417823 PPO

B064 20221208 A F BLUE CROSS MEDICARE ADVANTAGE None PO BOX 3686 SCRANTON PA 185050686 8777748592 MAP

B066 20221208 A F BLUE CROSS MEDICARE ADVANTAGE None PO BOX 4555 SCRANTON PA 185056555 8777748592 MAP

B067 20221208 A F BLUE CROSS MEDICARE ADVANTAGE None PO BOX 4555 SCRANTON PA 185056555 8777748592 MAP

B068 20230510 A F BLUE CROSS MEDICARE ADVANTAGE None PO BOX 3686 SCRANTON PA 185050686 8777748592 MAP

B069 20221208 A F BLUE CROSS MEDICARE ADVANTAGE None PO BOX 100300 COLUMBIA SC 292023300 8886302583 MAP

B070 20221208 A F BLUE MEDICARE ADVANTAGE None PO BOX 3686 SCRANTON PA 185050686 8777237702 MAP

B071 20221208 A F BLUE MEDICARE ADVANTAGE ESSEN None PO BOX 4555 SCRANTON PA 185056555 8665087140 MAP

B072 20221208 A F BLUE MEDICARE ESSENTIAL PLUS None PO BOX 2291 DURHAM NC 277022291 8883104110 MAP

B074 20230712 A F BLUEMEDICARE PREMIER None PO BOX 30016 PITTSBURGH PA 152220330 8444631088 MAP

B076 20221208 A F BLUEMEDICARE VALUE None PO BOX 1798 JACKSONVILLE FL 322310014 8009266565 MAP

B078 20221208 A F BSW SENIORCARE ADVANTAGE None PO BOX 3686 SCRANTON PA 185050686 8663343141 MAP

B079 20221216 A F BLUE CROSS MEDICARE ADVANTAGE None PO BOX 4555 SCRANTON PA 185056555 8777748592 MAP

B081 20221216 A F BLUEPATHWAY None PO BOX 2924 PHOENIX AZ 850622924 8004468331 MAP

B082 20221216 A F BRIGHT ADVANTAGE PART B SAVIN None PO BOX 16275 READING PA 196126275 8449264521 MAP

B083 20210907 A P REGENCE LIFE AND HEALTH ATTN HEALTH CLAIMS PO BOX 30272 SALT LAKE CITY UT 841300272 8883672116 PPO

B085 20230426 A F BRIGHT ADVANTAGE PART B SAVIN None PO BOX 853960 RICHARDSON TX 750853946 8449264521 MAP

B087 20221216 A F BUCKEYE HEALTH PLAN None 4349 EASTON WAY STE 120 COLUMBUS OH 432196114 8665498289 MAP

B088 20221223 A F BCN ADVANTAGE PRIME VALUE None PO BOX 68753 GRAND RAPIDS MI 495168753 8004503680 MAP

B089 20221223 A F BLUECROSS TOTAL VALUE None PO BOX 100300 COLUMBIA SC 292023300 8552042744 MAP

B095 20221223 A F BLUEMEDICARE PREMIER CHOICE None 4855 TOWN CENTER PKWY JACKSONVILLE FL 322468437 8442014934 MAP

B096 20221223 A F BRIGHT ADVANTAGE HEALTH DOLLA None PO BOX 853960 RICHARDSON TX 750853946 8442217736 MAP

B097 20221223 A F BSHS PACE BIENVIVIR SENIOR HE None 2300 MCKINLEY AVE EL PASO TX 799302240 9155623444 MAP

B099 20230426 A F BRAVEN MEDICARE PLUS None PO BOX 820 NEWARK NJ 71010820 8332728360 MAP

B100 20150304 A D HORIZON BC/BS OF NEW JERSEY None 3 PENN PLZ E # PP-13Q NEWARK NJ 71052258 9734667894 PDP

B102 20230109 A F BRAVEN MEDICARE CHOICE None PO BOX 199 NEWARK NJ 71010199 8332728360 MAP

B105 20230712 A F BLUE KC SECURE None 2301 MAIN ST KANSAS CITY MO 641082429 6650877140 MAP

B113 20150831 A D HMSA ATTN HEALTH CLAIMS PO BOX 44500 HONOLULU HI 968044500 8089485110 PDP

B115 20230322 A F BLUE ADVANTAGE None PO BOX 272540 CHICO CA 959272540 8665087145 MAP

B117 20240207 A F BLUE SHIELD 65 PLUS HMO None PO BOX 927 WOODLAND HILLS CA 913650927 8007764466 MAP

B119 20231010 A D BANNER MEDICARE SIMPLE RX None 2701 E ELVIRA RD TUCSON AZ 857567124 8445491859 PDP

B122 20240207 A F BLUE SHIELD ADVANTAGE OPTIMUM PLAN PO BOX 927 WOODLAND HILLS CA 913650927 8007764466 MAP

B124 20150831 A P BENEFIT ADMINISTRATIVE SERVICE ATTN HEALTH CLAIMS PO BOX 4509 ROCKFORD IL 611104509 8002497947 PPO

B125 20150831 A P BANNER CHOICE PLUS ATTN HEALTH CLAIMS PO BOX 16423 MESA AZ 852116423 8008272464 PPO

B128 20230601 A F BLUE MEDICARE ADVANTAGE CHOIC None PO BOX 272640 CHICO CA 959272640 92666565 MAP

B129 20241017 A F BOLDAGE PACE None 1075 STEPHENSON AVE OCEANPORT NJ 77571242 7328063205 MAP

B151 20150831 A P HEALTH DESIGNS PLUS ATTN HEALTH CLAIMS PO BOX 2853 CLINTON IA 527332853 8772863555 PPO

B156 20210106 A P REGENCE BLUE SHIELD ATTN OUT OF STATE CLAIMS PO BOX 1106 LEWISTON ID 835011106 2064643791 PPO

B161 20161228 A P TEMPORARY FILE FOR IT None 1500 CAPITOL AVE SACRAMENTO CA 958145006 9165551212 PPO

B168 20210907 A P BENEFIT SOLUTION INC ATTN HEALTH CLAIMS PO BOX 385 TAYLORSVILLE NC 286810385 4257717359 PPO

B170 20210415 A L AMERITAS DENTAL ATTN DENTAL CLAIMS PO BOX 82520 LINCOLN NE 685012520 8006534427 PPO

B186 20200318 A P EMPLOYEE BENEFIT ADMIN SVCS ATTN HEALTH CLAIMS 4160 DUBLIN BLVD STE 400 DUBLIN CA 945687756 8002673232 PPO

B202 20200325 A D BC/BS OF NORTH CAROLINA None PO BOX 3559 DURHAM NC 277023559 3362014459 PDP

B212 20161228 A P TEMPORARY ADD FOR IT None 1500 CAPITOL AVE SACRAMENTO CA 958145006 9165551212 PPO

B219 20241121 A P BLUE CROSS/SHIELD OUT OF STATE OUT OF STATE CLAIMS PO BOX 1505 RED BLUFF CA 960801505 8006762583 PPO

B241 20161228 A P BNAI BRITH ATTN HEALTH CLAIMS PO BOX 155 SCRANTON PA 185040155 8007232624 PPO

B242 20200318 A P CAREFIRST B/C & B/S ATTN CHRIS PUFFENBARGER PO BOX 1725 CUMBERLAND MD 215011725 8006288544 PPO

B244 20190722 A P HIGHMARK BLUE CROSSBLUE SHIELD ATTN OUT OF STATE CLAIMS PO BOX 890062 CAMP HILL PA 170890062 7173025000 PPO

B248 20150902 A L BEST LIFE ASSURANCE COMPANY ATTN LEONIE YIM PO BOX 890 MERIDIAN ID 836800890 8004330088 PPO

B272 20150831 A P BENEFIT MANAGEMENT GROUP ATTN HEALTH CLAIMS PO BOX 1090 GREAT BEND KS 675301090 8002901368 PPO

B278 20211020 A P BOON ADMINISTRATIVE SERVICES ATTN HEALTH CLAIMS PO BOX 211637 EAGAN MN 551213637 8668684139 PPO

B295 20150831 A P SIMPLIFIED FUNDING CONCEPTS ATTN HEALTH CLAIMS PO BOX 928 FINDLAY OH 458390928 8005235789 PPO

B296 20210907 A P BOON-CHAPMAN ATTN LISA CHARLEZ PO BOX 9201 AUSTIN TX 787669201 8002529653 PPO

B301 20200325 A P MULTIPLAN None 115 5TH AVE NEW YORK NY 100031004 8008771444 HMO

B362 20200318 A P EMPLOYER DRIVEN INS SERVICES ATTN JANET STEBBINS PO BOX 7809 VISALIA CA 932907809 8888867973 PPO

B364 20210907 A P HEALTHNOW ADMIN SERVICES ATTN PAUL GRAVES 801 LAKEVIEW DR STE 301 BLUE BELL PA 194221961 8008832000 PPO

B367 20210907 A P MAESTRO HEALTH None 2401 SARDIS RD N STE 110 CHARLOTTE NC 282277722 8002281803 PPO

B386 20160421 A P BENEFIT ADMIN SYST. ATTN HEALTH CLAIMS 17475 JOVANNA DR HOMEWOOD IL 604301020 8776250205 PPO

B414 20190301 A P BLUE SHIELD OF CALIFORNIA HMO None PO BOX 272540 CHICO CA 959272540 8004246521 HMO

B418 20200429 A P BLUE SHIELD OF CA - HMO EXTERNAL RX PO BOX 272540 CHICO CA 959272540 8005416652 HMO

B438 20180511 A P TUFTS HEALTH PLAN ATTN HEALTH CLAIMS 705 MOUNT AUBURN ST WATERTOWN MA 24721508 8005330090 PPO

B463 20231122 A F BLUE CROSS OF CALIFORNIA None PO BOX 60007 LOS ANGELES CA 900600007 8882119813 MAP

B513 20210614 A Q BENECARD PBF PRESCRIPTIONS CLAIMS 5040 RITTER RD MECHANICSBURG PA 170554879 8004790031 PPO

B517 20210907 A P BOULDER ADMIN SERVICES INC. None PO BOX 1046 BOULDER MT 596321046 4062253699 PPO

B667 20161228 A E BLUE SHIELD OF PA ATTN VISION CLAIMS PO BOX 149 CAMP HILL PA 170010149 8008165527 PPO

B668 20190613 A P BLUE SHIELD OF CA - FEP HMO None PO BOX 272540 CHICO CA 959272540 8005416652 HMO

B700 20201113 A P BLUE SHIELD FEP FEDERAL EMPLOYEE PROGRAM PO BOX 272510 CHICO CA 959272510 8003227319 PPO

B977 20150909 A D BLUE RX OPTION I ATTN. PART D CLAIMS PO BOX 14429 LEXINGTON KY 405124429 8885439212 PDP

C001 20150909 A F COMMUNITY ELDERCARE SAN DIEGO ATTN: CLAIMS 328 MAPLE ST SAN DIEGO CA 921036522 6192396900 MAP

C002 20150909 A F CAREMORE HEALTH PLAN CLAIMS PO BOX 366 ARTESIA CA 907020366 8004992793 MAP

C003 20220914 A F CAREOREGON AAVANTAGE PLUS None PO BOX 40328 PORTLAND OR 972400328 8887123258 MAP

C004 20161228 A P CLAIMS MGMT SERV ATTN HEALTH CLAIMS PO BOX 10888 GREEN BAY WI 543070888 9204971589 PPO

C005 20150909 A F CARE IMPROVEMENT PLUS ATTN. CLAIMS DEPARTMENT PO BOX 488 LINTHICUM MD 210900488 8666793119 MAP

C010 20240229 A P BLUE SHIELD OF CALIFORNIA PPO None PO BOX 272540 CHICO CA 959272540 8005416652 PPO

C011 20230830 A F CARE IMPROVEMENT PLUS None PO BOX 30769 SALT LAKE CITY UT 841300769 8669771977 MAP

C012 20150902 A F CARE IMPROVEMENT PLUS None PO BOX 488 LINTHICUM MD 210900488 8666793119 MAP

C014 20190723 A P CENTURY HEALTHCARE C/O WEB TPA PO BOX 2256 GRAPEVINE TX 760992256 9776852432 PPO

C015 20200318 A P CBA ADMINISTRATORS None 4704 W JENNIFER AVE STE 104 FRESNO CA 937226419 8007094734 PPO

C016 20150904 A P CHRISTIAN HEALTH MINISTRIES None 127 HAZELWOOD AVE BARBERTON OH 442031316 8007916225 HMO

C017 20200429 A P BLUE SHIELD - PPO EXTERNAL RX None PO BOX 272540 CHICO CA 959272540 8005416652 PPO

C018 20220914 A F CIGNA TOTALCARE None PO BOX 981706 EL PASO TX 799981706 8009971654 MAP

C019 20220914 A F CIGNA TOTALCARE None PO BOX 981706 EL PASO TX 799981706 8009974654 MAP

C020 20170526 A F CAREMORE HEALTH PLAN None PO BOX 366 MSC 6110 ARTESIA CA 907020366 8004992793 MAP

C021 20170526 A F CAREMORE HEALTH PLAN None PO BOX 366 MSC 6110 ARTESIA CA 907020366 8004992793 MAP

C022 20170526 A F CAREMORE HEALTH PLAN None PO BOX 366 MSC 6110 ARTESIA CA 907020366 8004992793 MAP

C023 20200205 A D CLEAR SPRING HEALTH VALUE RX ATTN: CLAIMS PO BOX 4048 SCRANTON PA 185056048 8773841241 PDP

C024 20220302 A F COMMUNITY HEALTH PLAN None 1111 3RD AVE STE 400 SEATTLE WA 981013207 8009420247 MAP

C025 20220330 A F CIGNA PREFERRED MEDICARE None PO BOX 981706 EL PASO TX 799981706 8006683813 MAP

C026 20170804 A P CERNER None PO BOX 188061 CHATTANOOGA TN 374228061 8777651033 PPO

C027 20220914 A F CIGNA TOTALCARE None PO BOX 981706 EL PASO TX 799981706 8006683813 MAP

C029 20220914 A F CIGNA TOTALCARE None PO BOX 981706 EL PASO TX 799981706 8006683813 MAP

C030 20221229 A F CCA ONE CARE None PO BOX 548 GREENLAND NH 38400548 8666102273 MAP

C031 20150902 A P ANTHEM BLUECROSS/BLUESHIELD WI ATTN HEALTH CLAIMS PO BOX 10888 GREEN BAY WI 543070888 9204971589 PPO

C032 20221208 A F CIGNA PREFERRED MEDICARE None PO BOX 981706 EL PASO TX 799981706 8006683813 MAP

C033 20221208 A F CIGNA PREFERRED MEDICARE None PO BOX 981706 EL PASO TX 799981706 8006683813 MAP

C034 20150811 A D COLORADO ACCESS VISTA MEDICARE None 10065 E HARVARD AVE STE 600 DENVER CO 802315963 8774416032 PDP

C035 20221208 A F CIGNA TOTALCARE None PO BOX 20002 NASHVILLE TN 372024000 8006683813 MAP

C037 20221208 A F CLEAR SPRING HEALTH ESSENTIAL None PO BOX 660907 DALLAS TX 752660907 8773644566 MAP

C038 20221208 A F CLOVER HEALTH CHOICE VALUE None PO BOX 3236 SCRANTON PA 185050236 2014149690 MAP

C039 20221208 A F COXHEALTH MEDICARE ADVANTAGE None PO BOX 5750 SPRINGFIELD MO 658015750 8002057665 MAP

C040 20221216 A F CALOPTIMA PACE None PO BOX 11037 ORANGE CA 928568137 8557852584 MAP

C041 20221216 A F CARESOURCE MYCARE OHIO None PO BOX 8730 DAYTON OH 454018730 8554753163 MAP

C042 20190723 A L HEALTH SCOPE BENEFITS ATTN KELLY CARUTHERS PO BOX 99004 LUBBOCK TX 794909004 8008316154 PPO

C043 20230712 A F CDPHP FLEX RX PPO None 500 PATROON CREEK BLVD ALBANY NY 122065006 5186413950 MAP

C044 20230417 A F CIGNA PREFERRED MEDICARE None PO BOX 981706 EL PASO TX 799981706 8006683813 MAP

C045 20230104 A F CENTERS PLAN FOR MA CARE None 75 VANDERBILT AVE STATEN ISLAND NY 103042604 8779409330 MAP

C046 20230505 A F CARESOURCE DUAL ADVANTAGE None PO BOX 8738 DAYTON OH 454018738 8332302020 MAP

C047 20230728 A F ALLCARE PACE None 2166 NW VINE ST GRANTS PASS OR 975268413 5414748000 MAP

C069 20161228 A P CELTIC LIFE INSURANCE COMPANY ATTN HEALTH CLAIMS PO BOX 46337 MADISON WI 537446337 8007662525 PPO

C070 20150902 A P CARPENTERS/JOINTERS UNION HWF ATTN MARY PAT BAILEY 3001 METRO DR STE 500 BLOOMINGTON MN 554251617 9528540795 PPO

C084 20210907 A P TIC INTERNATIONAL WELFARE FUND 11590 N MERIDIAN ST STE 600 CARMEL IN 460326971 8003928726 PPO

C086 20231122 A F CAREADVANTAGE HLTH PLAN OF SAN MATEO 801 GATEWAY BLVD STE 100 SOUTH SAN FRANCISCO CA 940807408 8668800606 MAP

C092 20210415 A L CIGNA DENTAL PPO None PO BOX 188037 CHATTANOOGA TN 374228037 80024462242 PPO

C093 20150902 A L CITIZENS SECURITY LIFE INS ATTN DENTAL CLAIMS PO BOX 436149 LOUISVILLE KY 402536149 5022442420 PPO

C094 20240220 A F CCA HEALTH PLANS OF CALIFORNI None 18000 STUDEBAKER RD STE 150 CERRITOS CA 907032704 8663333530 MAP

C096 20240220 A F CHAMPION HEATH PLAN None PO BOX 15337 LONG BEACH CA 908150337 8008858000 MAP

C118 20230728 A F CHRISTUS HEALTH PLAN GENERATIO None 919 HIDDEN RDG IRVING TX 750383813 8442823026 MAP

C119 20231122 A F CLEVER CARE None 7711 CENTER AVE STE 100 HUNTINGTON BEACH CA 926473070 8333888168 MAP

C120 20240227 A F BLUE SHIELD OF CA None PO BOX 927 WOODLAND HILLS CA 913650927 8004524413 MAP

C122 20230808 A F CENTRAL VALLEY PACE None PO BOX 21631 EAGAN MN 551210631 2097246000 MAP

C123 20240116 A F COMMUNITY HEALTH GROUP None 2420 FENTON ST STE 100 CHULA VISTA CA 919143516 8824444430 MAP

C128 20231122 A F CENTRAL HEALTH PLAN OF CA INC None PO BOX 14244 ORANGE CA 928631244 8663142427 MAP

C141 20210907 A P BENEFIT COORDINATORS INC ATTN MAUREEN RICH 121 HUNTER VILLAGE DR IRMO SC 290637623 4124464618 PPO

C153 20240207 A F CHINESE COMMUNITY HEALTH PLAN None 445 GRANT AVE SAN FRANCISCO CA 941083208 8887757888 MAP

C155 20240207 A F COMMUNITY Y MAS None 2420 FENTON ST STE 100 CHULA VISTA CA 919143516 8002323133 MAP

C157 20200318 A P CAPITAL BLUE CROSS None 2500 ELMERTON AVE HARRISBURG PA 171779764 8009585558 PPO

C161 20190722 A P ADVENTIST HEALTH SYSTEMS CLAIMS CENTRAL PO BOX 619031 ROSEVILLE CA 956619031 8004412524 PPO

C169 20230728 A F CCA HEALTH MICHIGAN None PO BOX 25677 TAMPA FL 336225677 8559595855 MAP

C209 20210907 A P HOMETOWN HEALTH PLAN ATTN HEALTH/DENTAL CLAIMS 10315 PROFESSIONAL CIR RENO NV 895215861 8003360123 PPO

C237 20210920 A D COMMUNITYCARE PRESCRIPTION DRUG PLAN WILLIAMS CENTER TOWER II W 2ND ST STE 100 TULSA OK 74103 8003333275 PDP

C256 20200318 A P CDS GROUP HEALTH ATTN HEALTH CLAIMS PO BOX 50190 SPARKS NV 894350190 8004554236 PPO

C272 20220203 A P BOON GROUP ATTN HEALTH CLAIMS 6300 BRIDGE POINT PKWY STE 3-200 AUSTIN TX 787305004 8003682666 PPO

C276 20200325 A P CARE1ST BC/BLUE SHIELD OF MD ATTN HEALTH CLAIMS PO BOX 80139 BATON ROUGE LA 708980139 8002250131 PPO

C278 20210907 A P CONNECTICARE None 175 SCOTT SWAMP RD FARMINGTON CT 60323124 8606745757 HMO

C282 20210806 A P BLUE CHOICE HEALTH S. CAROLINA None PO BOX 6170 COLUMBIA SC 292606170 8008682528 HMO

C285 20240109 A L CALIFORNIA DENTAL NETWORK None PO BOX 2190 LAGUNA HILLS CA 926542190 8774336825 HMO

C287 20161228 A P CARPENTERS HWTFOF INDIANA ATTN MICHELLE INMAN PO BOX 421729 INDIANAPOLIS IN 462421729 3177913500 PPO

C288 20240304 A Q CAREMARK ATTN PRESCRIPTION CLAIMS PO BOX 659915 SAN ANTONIO TX 782659149 8886241139 TPP

C292 20220203 A P MARPAI HEALTH None 5701 E HILLSBOROUGH AVE STE 1417 TAMPA FL 336105428 8553897330 PPO

C293 20210625 A P CONCORDIA PLAN SERVICES ATTN HEALTH CLAIMS PO BOX 229007 SAINT LOUIS MO 631229007 3149659000 PPO

C298 20210907 A P CALIFORNIA VALUED TRUST ATTN: HEALTH CLAIMS 520 E HERNDON AVE FRESNO CA 937202907 8002889870 PPO

C307 20160921 A P COASTAL ADMIN SERVICES None PO BOX 3070 BELLINGHAM WA 982273070 8008701831 PPO

C308 20220203 A P COMMUNITY FIRST HEALTH None PO BOX 853927 RICHARDSON TX 750853927 2103586030 HMO

C311 20190417 A C VETERANS HEALTH ADMINISTRATORS ATTN HEALTH CLAIMS 4150 CLEMENT ST SAN FRANCISCO CA 941211563 4157502014 PPO

C312 20190417 A C CHAMPVA ATTN HEALTH CLAIMS PO BOX 469064 DENVER CO 802469064 8007338387 PPO

C352 20211118 A P CHESTERFIELD RESOURCES None 3520 4TH LAKE DRIVE UNIONTOWN OH 44685 3308962232 PPO

C362 20161228 A P CASS/JOHANSING ATTN HEALTH CLAIMS 24102 EL TORO RD STE C LAGUNA HILLS CA 926373123 7148372800 PPO

C367 20210907 A P AMERIHEALTH ADMINISTRATORS ATTN HEALTH CLAIMS 1900 MARKET ST STE 500 PHILADELPHIA PA 191033527 8005072359 PPO

C371 20210907 A P CELTIC HEALTH INS ATTN HEALTH CLAIMS PO BOX 26440 LITTLE ROCK AR 722216440 8002373968 PPO

C399 20150902 A F BLUE CROSS OF CALIFORNIA None PO BOX 60007 LOS ANGELES CA 900600007 8882909160 MAP

C409 20150902 A F CONTRA COSTA HEALTH PLAN None PO BOX 2157 SAN LEANDRO CA 945770215 9259575185 MAP

C413 20200318 A P CHINESE COMMUNITY HEALTH PLAN None 445 GRANT AVE STE 700 SAN FRANCISCO CA 941083250 4159558800 HMO

C421 20161228 A P CATHOLIC GOLDEN AGE ATTN HEALTH CLAIMS PO BOX 97 SCRANTON PA 185040097 8002334697 PPO

C425 20161228 A P CENTRAL RESERVE LIFE ATTN HEALTH CLAIMS 17800 ROYALTON RD STRONGSVILLE OH 441365149 8002534650 PPO

C454 20211007 A P COMPREHENSIVE BENEFITS ADMIN ATTN HEALTH CLAIMS PO BOX 2365 SOUTH BURLINGTON VT 54072365 8028648321 PPO

C455 20230728 A F CONSOLIDATED ASSOC RAILROAD None PO BOX 6130 TEMPLE TX 765036130 2547731330 MAP

C467 20180511 A P COLONIAL PENN LIFE INS CO None 399 MARKET ST PHILADELPHIA PA 191810001 8005234000 PPO

C478 20211007 A P CORE SOURCE ATTN HEALTH CLAIMS PO BOX 8215 LITTLE ROCK AR 722218215 8886049397 PPO

C493 20230728 A F ARCHCARE SENIOR LIFE None PO BOX 21631 EAGAN MN 551210631 8662639083 MAP

C504 20210806 A P CHRISTIAN BROTHERS EMP BENEFIT TRUST ATTN HEALTH CLAIMS 1205 WINDHAM PKWY ROMEOVILLE IL 604461672 6303782900 PPO

C527 20230728 A F CAREPARTNERS OF CONNECTICUT None PO BOX 494 CANTON MA 20210494 8883411507 MAP

C528 20211007 A P CORPORATE BENEFIT SERV OF AMER ATTN MERITAIN HEALTH PO BOX 27267 MINNEAPOLIS MN 554270267 8662093063 PPO

C533 20161228 A P CAREFIRST ADMINISTRATORS ATTN HEALTH CLAIMS PO BOX 10136 FAIRFAX VA 220388022 4.43472E+13 TPM

C535 20210726 A P CIGNA HEALTHCARE ATTN HEALTH CLAIMS PO BOX 182223 CHATTANOOGA TN 374227223 8002446224 PPO

C536 20161228 A P CHRISTOPHER RANCH HEALTH PLAN ATTN HEALTH CLAIMS 305 BLOOMFIELD AVE GILROY CA 950209516 4088471100 PPO

C540 20161228 A P TLC ADMINISTRATORS ATTN GLORIA JOLOYA PO BOX 7450 FREMONT CA 945377450 5107950103 PPO

C543 20211007 A P HEALTH PLAN OF NEVADA ATTN HEALTH CLAIMS PO BOX 15645 LAS VEGAS NV 891145645 8003562180 PPO

C546 20161228 A P CORPORATE SYSTEMS ADMIN ATTN HEALTH CLAIMS PO BOX 4985 JOHNSON CITY TN 376024985 4232823420 PPO

C548 20220203 A P TEAMCARE HWF ATTN HEALTH CLAIMS PO BOX 5116 DES PLAINES IL 600175116 8003232190 PPO

C634 20190626 A F CIGNA PART C None PO BOX 120002 NASHVILLE TN 372120002 8003624462 MAP

C635 20211007 A P CARPENTERS HWTF OF ST LOUIS ATTN HEALTH CLAIMS PO BOX 7796 LONDON KY 407427796 3146444800 PPO

C647 20190417 A C TRICARE SELECT ATTN PGBA LLC/TRICARE PO BOX 870140 SURFSIDE BEACH SC 295879740 8005389552 PPO

C653 20190417 A C TRICARE PRIME C/O PGBA LLC/TRICARE PO BOX 870140 SURFSIDE BEACH SC 295879740 8005389552 HMO

C668 20200416 A P ANTHEM BLUE CROSS HMO None PO BOX 60007 LOS ANGELES CA 900600007 8002273560 HMO

C677 20211007 A P CULINARY HEALTH FUND ATTN HEALTH CLAIMS 1901 LAS VEGAS BLVD S # 107 LAS VEGAS NV 891041304 7027339938 PPO

C690 20211027 A P CIGNA HEALTHCARE HMO None PO BOX 182223 CHATTANOOGA TN 374227223 8002446224 HMO

C691 20220118 A F CIGNA-HEALTHSPRING PREFERRED None PO BOX 981706 EL PASO TX 799981706 8006683813 MAP

C692 20220120 A F CIGNA ALLIANCE MEDICARE None PO BOX 981706 EL PASO TX 799981706 8006277534 MAP

C693 20230831 A F CIGNA TRUE CHOICE MEDICARE None PO BOX 981706 EL PASO TX 799981706 8002306138 MAP

C702 20230728 A F CIGNA HEALTHSPRING PREFERRED None PO BOX 2888 HOUSTON TX 772522888 8006683813 MAP

C709 20161228 A P COMMOM HEALTH ALLIANCE ATTN HEALTH CLAIMS 1650 STATE FARM BLVD CHARLOTTESVILLE VA 229114664 8049771867 PPO

C712 20211007 A P COLORADO HEALTH TRUST ATTN HEALTH CLAIMS PO BOX 21240 DENVER CO 802210240 3034285586 PPO

C723 20161228 A P HOAST BENEFITS INS CO ATTN HEALTH CLAIMS PO BOX 80040 LAS VEGAS NV 891800040 7028891155 PPO

C726 20150212 A L CIGNA DENTAL HMO None PO BOX 188037 CHATTANOOGA TN 374228037 8002446224 HMO

C741 20211007 A P CENTRAL PA TEAMSTERS HWF ATTN LOU ANN DELONG PO BOX 15224 READING PA 196125224 2153205500 PPO

C752 20220203 A P COASTAL TPA ATTN HEALTH CLAIMS PO BOX 80308 SALINAS CA 939120308 8005647475 PPO

C765 20210319 A P CIGNA BEHAVIORAL HEALTH None PO BOX 182223 CHATTANOOGA TN 374227223 8004335768 PPO

C770 20150304 A P COMMUNITY CARE None PO BOX 3249 TULSA OK 741013249 8007774890 HMO

C773 20150921 A P CEMENT MASONS UNION LOCAL 502 ATTN BEA KAY 739 25TH AVE BELLWOOD IL 601041954 7085449105 PPO

C837 20150921 A F COMMUNITY HEALTH GROUP ATTN: CLAIMS PO BOX 210100 CHULA VISTA CA 919210100 6194220422 MSP

C838 20161228 A E HUMANA VISION CARE PLAN None PO BOX 14601 LEXINGTON KY 405124601 8778091810 PPO

C841 20210415 A L CAREINGTON PPO None PO BOX 60 FRISCO TX 750341101 8005617374 PPO

C883 20200325 A D COVENTRY ADVANTRA RX None PO BOX 7707 LONDON KY 407427707 8049657796 PDP

C884 20230829 A F UNITED HEALTHCARE ATTN: CLAIMS PO BOX 30769 SALT LAKE CITY UT 841300769 8448125967 MAP

C885 20220203 A P CONNECTTICARE None PO BOX 4050 FARMINGTON CT 60344050 8002517722 HMO

C900 20200612 A P CORNERSTONE PREFERRED RESOURCE None PO BOX 680185 HOUSTON TX 772680185 8889182386 PPO

D003 20140508 A D MERIDIAN HEALTH PLAN ILLINOIS None 1001 WOODWARD AVE STE 520 DETROIT MI 482261920 8779026784 PDP

D004 20150212 A D ELDER HEALTH INSURANCE CO. None 3601 ODONNELL ST BALTIMORE MD 212245238 4108644466 PDP

D008 20151222 A D HUMANA INSURANCE PUERTO RICO None PO BOX 14601 LEXINGTON KY 405124601 8778091810 PDP

D010 20150921 A L DELTA DENTAL OF VIRGINIA ATTN DENTAL CLAIMS 4818 STARKEY RD ROANOKE VA 240188510 8003673531 PPO

D011 20151013 A D EXPRESS SCRIPTS HEALTH SOLUTIO None PO BOX 2860 CLINTON IA 527332860 8007584574 PDP

D013 20140117 A D HEALTH ALLIANCE PLAN CLAIMS 2850 W GRAND BLVD DETROIT MI 482022643 8004224641 PDP

D014 20140117 A D TRANSAMERICA MEDICARE RX CLAIMS DEPARTMENT PO BOX 509099 SAN DIEGO CA 921509099 8776337443 PDP

D015 20150921 A L DELTA DENTAL OF NORTH CAROLINA ATTN DENTAL CLAIMS PO BOX 9085 FARMINGTON HILLS MI 483339085 8006628856 PPO

D016 20061027 A L DELTA DENTAL OF AZ ATTN DENTAL CLAIMS PO BOX 43026 PHOENIX AZ 850803026 8003526132 PPO

D017 20211007 A P MANAGED CARE OF AMERICA ATTN HEALTH CLAIMS MANOR OAK TWO STE 605 PITTSBURGH PA 15220 8002218490 PPO

D018 20140117 A D MERIDIAN RX PHARMACY CLAIMS 1001 WOODWARD AVE STE 700 DETROIT MI 482261919 8556470075 PDP

D019 20150921 A D TRIPLE-S SALUD None PO BOX 11320 SAN JUAN PR 9221320 7876201919 PDP

D021 20240109 A L CYPRESS DENTAL None PO BOX 1998 MILWAUKEE WI 532011998 8003503989 PPO

D022 20201117 A L ANTHEM BLUE DENTAL None PO BOX 60007 LOS ANGELES CA 900600007 8007228879 PPO

D023 20220121 A F DEVOTED HEALTH PRIME None PO BOX 21367 EAGAN MN 551210367 8003386833 MAP

D024 20220602 A F DEVOTED HEALTH CARE None PO BOX 211037 EAGAN MN 551212437 8003386833 MAP

D025 20220914 A F DENVER HEALTH MEDICARE CHOICE None 777 BANNOCK ST # MC6000 DENVER CO 802044507 3036022111 MAP

D026 20220914 A F DEVOTED HEALTH DUAL BROWARD None PO BOX 211524 EAGAN MN 551212724 8003386833 MAP

D028 20221208 A F DEVOTED CHOICE None PO BOX 211037 EAGAN MN 551212437 8003386833 MAP

D030 20200325 A P DOW CHEMICAL CO USA ATTN HEALTH CLAIMS 901 LOVERIDGE RD PITTSBURG CA 945652811 5104325000 PPO

D031 20230417 A F DEVOTED CHOICE ARIZONA None PO BOX 211524 EAGAN MN 551212724 8777623515 MAP

D032 20230426 A F DEVOTED CHOICE ILLINOIS None PO BOX 211524 EAGAN MN 551212724 8777623515 MAP

D033 20221208 A F DEVOTED CHOICE OREGON None PO BOX 211037 EAGAN MN 551212437 8338450281 MAP

D034 20221208 A F DEVOTED CHOICE PLUS HAWAII None PO BOX 21367 EAGAN MN 551210367 8003386833 MAP

D035 20210415 A L DELTA DENTAL OF OREGON None PO BOX 40384 PORTLAND OR 972400384 8773370650 PPO

D036 20221208 A F DEVOTED CORE COLORADO None PO BOX 211037 EAGAN MN 551212437 8778040811 MAP

D037 20150918 A L DELTA DENTAL OF PA ATTN DENTAL CLAIMS PO BOX 2105 MECHANICSBURG PA 170552105 8009320783 PPO

D038 20230417 A F DEVOTED CORE TENNESSEE None PO BOX 21367 EAGAN MN 551210367 8777623515 MAP

D040 20221208 A F DEVOTED CORE UPSTATE None PO BOX 21237 EAGAN MN 55121 8003386833 MAP

D044 20150918 A L DELTA DENTAL OF OKLAHOMA ATTN DENTAL CLAIMS PO BOX 548809 OKLAHOMA CITY OK 731548809 8005220188 PPO

D045 20211007 A P DEAN HEALTH PLAN ATTN HEALTH CLAIMS PO BOX 56099 MADISON WI 537059399 6088361400 PPO

D047 20221208 A F DEVOTED HEALTH ESSENTIALS None PO BOX 211037 EAGAN MN 551212437 8003386833 MAP

D049 20150918 A L DELTA DENTAL OF IOWA ATTN DENTAL CLAIMS PO BOX 9000 JOHNSTON IA 501319000 8005440718 PPO

D050 20161228 A P DIVERSIFIED GRP ADMINSTRATORS ATTN HEALTH CLAIMS PO BOX 19804 KNOXVILLE TN 379392804 8008583203 PPO

D051 20221208 A F DRVALUE DRPLUS None 2020 PONCE DE LEON BLVD PH 1 CORAL GABLES FL 331344477 7864603427 MAP

D052 20221216 A F DEVOTED HEALTH CORE None PO BOX 21367 EAGAN MN 551210367 8003386833 MAP

D053 20230104 A F DEVOTED HEALTH None PO BOX 21367 EAGAN MN 551210367 8003386833 MAP

D074 20220203 A P DESERET MUTUAL BENEFIT ADMIN ATTN HEALTH CLAIMS PO BOX 45530 SALT LAKE CITY UT 841450530 8015785600 PPO

D075 20071206 A L DELTA DENTAL OF CA FEDERAL SRV ATTN DENTAL CLAIMS PO BOX 537007 SACRAMENTO CA 958537007 8888388737 PPO

D086 20211007 A P DELTA HEALTH SYSTEMS ATTN HEALTH CLAIMS PO BOX 80 STOCKTON CA 952013080 8004226099 PPO

D087 20161228 A P DIAMOND BENEFITS GRP ATTN HEALTH CLAIMS 38 DISCOVERY STE 250 IRVINE CA 926183129 8004260376 PPO

D100 20200318 A P HEALTH SMART /ACCEL ATTN HEALTH CLAIMS PO BOX 94807 LUBBOCK TX 794934807 8008211222 PPO

D101 20190417 A L DENTAL BENEFIT PROVIDERS ATTN DENTAL CLAIMS PO BOX 30552 SALT LAKE CITY UT 841300552 8005536542 PPO

D102 20210415 A L SUN LIFE DENTAL None PO BOX 2940 CLINTON IA 527332940 8004427742 HMO

D103 20170512 A L ANTHEM BLUE CROSS DENTAL PPO None PO BOX 105187 ATLANTA GA 303485187 8002312583 PPO

D104 20201117 A L ANTHEM BLUE CROSS DENTAL HMO None PO BOX 105187 ATLANTA GA 303485187 8002312583 HMO

D105 20170621 A L DELTA DENTAL OF MISSOURI None PO BOX 63126 SAINT LOUIS MO 631633126 8003358266 PPO

D107 20170621 A L PRINCIPAL DENTAL None PO BOX 10357 DES MOINES IA 503060357 8002474695 PPO

D111 20211007 A P DMC INS ADMIN ATTN HEALTH CLAIMS 1181 QUARRY LN STE 400 PLEASANTON CA 945664790 9254269553 PPO

D112 20210415 A L DENTAL HEALTH SERVICES None 3780 KILROY AIRPORT WAY STE 750 LONG BEACH CA 908066855 5625956000 PPO

D118 20190417 A L DELTA DENTAL OF CALIFORNIA ATTN: DENTAL CLAIMS PO BOX 997330 SACRAMENTO CA 958997330 8883358227 PPO

D123 20150908 A L DENTAL NETWORK OF AMERICA INC None 2 TRANSAM PLAZA DR OAKBROOK TERRACE IL 601814823 8003237201 HMO

D127 20210415 A L DEDICATED DENTAL ATTN DENTAL CLAIMS 9800 S LA CIENEGA BLVD STE 800 INGLEWOOD CA 903014442 6613975513 PPO

D132 20190724 A L DELTA DENTAL OF KANSAS ATTN DENTAL CLAIMS PO BOX 789769 WICHITA KS 672789769 3162644511 HMO

D134 20150908 A L DELTA DENTAL OF WISCONSIN ATTN DENTAL CLAIMS PO BOX 828 STEVENS POINT WI 544810828 8002363712 HMO

D137 20150908 A L DELTA DENTAL OF TN ATTN DENTAL CLAIMS 240 VENTURE CIR NASHVILLE TN 372281604 8002233104 HMO

D143 20150908 A L DIRECT DENTAL ADMINISTRATORS ATTN HEALTH CLAIMS PO BOX 497 MILWAUKEE WI 532010497 8778783384 HMO

D160 20150921 A L DELTA DENTAL OF MASSACHUSETTS ATTN DENTAL CLAIMS PO BOX 249 THIENSVILLE WI 530920249 8004511249 HMO

D164 20150908 A L DELTA DENTAL OF GEORGIA ATTN DENTAL CLAIMS PO BOX 1809 ALPHARETTA GA 300231809 8005212651 HMO

D186 20150806 A L DELTA DENTAL OF ARKANSAS ATTN DENTAL CLAIMS PO BOX 15965 LITTLE ROCK AR 722315965 8004625410 PPO

D187 20201116 A L BLUE CROSS/SHIELD DENTAL HMO None PO BOX 1505 RED BLUFF CA 960801505 8006270004 HMO

D189 20180530 A L DELTA DENTAL OF MICHIGAN None PO BOX 9085 FARMINGTON HILLS MI 483339085 8005240150 PPO

D193 20150908 A L DELTA DENTAL OF IDAHO ATTN DENTAL CLAIMS PO BOX 2870 BOISE ID 837012870 2083444546 PPO

D196 20150908 A L DELTA DENTAL OF RHODE ISLAND ATTN DENTAL CLAIMS PO BOX 1517 PROVIDENCE RI 29011517 8008433582 HMO

D198 20180530 A L DELTA DENTAL OF WYOMING ATTN DENTAL CLAIMS PO BOX 29 CHEYENNE WY 820030029 8007353379 PPO

D200 20100428 A L DELTA DENTAL OF MINNESOTA ATTN DENTAL CLAIMS PO BOX 908 MINNEAPOLIS MN 554400908 6514065916 PPO

D204 20180803 A L DELTA DENTAL INSURANCE COMPANY ATTN DENTAL CLAIMS PO BOX 1809 ALPHARETTA GA 300231809 8005212651 PPO

D206 20240109 A L CYPRESS DENTAL HMO None PO BOX 1998 MILWAUKEE WI 532011998 8003503989 HMO

D211 20150908 A L DELTA DENTAL PLAN OF SO DAKOTA ATTN DENTAL CLAIMS PO BOX 1157 PIERRE SD 575011157 6052247345 HMO

D215 20150908 A L DELTA DENTAL OF ILLINOIS ATTN DENTAL CLAIMS PO BOX 5402 LISLE IL 605325402 8004521987 HMO

D217 20150908 A L DELTA DENTAL OF KENTUCKY ATTN DENTAL CLAIMS PO BOX 242810 LOUISVILLE KY 402242810 8009552030 HMO

D218 20210614 A W HEALTHSMART DENTAL DIRECT REIMBURSEMENT BENEFITS PO BOX 71489 NEWNAN GA 302711489 8007944668 HMO

D222 20150908 A L DELTA DENTAL OF TEXAS ATTN DENTAL CLAIMS PO BOX 1809 ALPHARETTA GA 300231809 8008933582 HMO

D245 20161228 A E DAVIS VISION ATTN VISION CLAIMS PO BOX 1525 LATHAM NY 121108025 8009995431 PPO

D248 20210415 A L DENTAQUEST ATTN DENTAL CLAIMS PO BOX 433 MILWAUKEE WI 532010433 8003803787 HMO

D249 20200915 A L DELTA DENTAL OF CO ATTN DENTAL CLAIMS PO BOX 173803 DENVER CO 802173803 8006100201 HMO

D253 20150908 A L DELTA DENTAL OF NJ ATTN DENTAL CLAIMS PO BOX 222 PARSIPPANY NJ 70540222 8004529310 PPO

D500 20150908 A D BLUE SHIELD MEDICARE RX None 6300 CANOGA AVE WOODLAND HILLS CA 913672555 8882396469 PDP

D501 20150217 A D ELDER HEALTH PDP TEXAS None 1500 CAPITOL AVE SACRAMENTO CA 958145006 8882250026 PDP

D502 20150908 A D ADVANTRARX None PO BOX 14023 LEXINGTON KY 405124023 8002386279 PDP

D503 20150217 A D AMERIHEALTH RX None 1500 CAPITOL AVE SACRAMENTO CA 958145006 8886787007 PDP

D504 20150921 A D HUMANA INC. None PO BOX 14310 LEXINGTON KY 405124310 8007831307 PDP

D505 20131122 A D HEALTHMARKETS MEDICARE PART D PO BOX 5230 LISLE IL 605325230 8886309137 PDP

D506 20150908 A D BLUE MEDICARE RX None PO BOX 52066 PHOENIX AZ 850722066 8778537693 PDP

D507 20150311 A D OPTUM RX None PO BOX 29044 HOT SPRINGS NATIONAL AR 719039044 8883261004 PDP

D508 20150908 A D EXPRESS SCRIPT INC. None PO BOX 2585 CLINTON IA 527332858 8774619218 PDP

D510 20180221 A D AMERIHEALTH ADVANTAGE None PO BOX 41574 PHILADELPHIA PA 191011574 8666817368 PDP

D519 20180810 A D BASIC BLUE RX None PO BOX 52066 PHOENIX AZ 850722066 8773762185 PDP

D520 20150908 A D BLUE MEDICARE RX None PO BOX 280200 NASHVILLE TN 372280200 8667552776 PDP

D521 20210920 A D BLUE RX PLUS None PO BOX 3178 SCRANTON PA 185053178 8334091209 PDP

D550 20150921 A D UPMC HEALTH PLAN PDP None 1 CHATHAM CTR PITTSBURGH PA 152193441 8775393080 PDP

D561 20240110 A L DENTAL HEALTH SERVICES HMO None 3780 KILROY AIRPORT WAY STE 750 LONG BEACH CA 908066855 8625956000 HMO

D570 20150908 A D EXCELLUS HEALTH PLAN PDP None PO BOX 509098 SAN DIEGO CA 921509098 8005146930 PDP

D580 20150908 A D HUMANA INSURANCE COMPANY OF NY ATTN. HUMANA INSURANCE PO BOX 533 CAROL STREAM IL 601320533 8002816918 PDP

D590 20151016 A D GROUP HEALTH SVCS OF OKLAHOMA None PO BOX 144429 LEXINGTON KY 405124429 8882852249 PDP

D591 20181029 A D MUTUAL OF OMAHA RX None PO BOX 14718 LEXINGTON KY 405124718 8558646797 PDP

D592 20181213 A D AARP/UHC MEDICARERX None PO BOX 29045 HOT SPRINGS NATIONAL AR 719039045 8778896510 PDP

D593 20150908 A D FIRST HEALTH PREMIER None PO BOX 2860 CLINTON IA 527332860 8668234701 PDP

D595 20150908 A D HEALTHSPRING None 9701 W HIGGINS RD STE 360 ROSEMONT IL 600184731 8586255686 PDP

D597 20150908 A D FIRST UNITED AMERICAN LIFE INS None PO BOX 8080 MCKINNEY TX 750708080 8665244171 PDP

D600 20150909 A D MARQUETTE NATL LIFE INS None PO BOX 12148 PENSACOLA FL 325912148 8504321700 PDP

D605 20150908 A D BLUE CROSS/SHIELD MICHIGAN None PO BOX 14718 LEXINGTON KY 405124718 8004854415 PDP

D615 20150908 A D HIGHMARK SENIOR RESOURCES None PO BOX 2858 CLINTON IA 527332858 8002903914 PDP

D618 20150908 A D BLUE CROSS MEDICARE RX None PO BOX 9282 OXNARD CA 930319282 8009286201 PDP

D619 20150909 A D PENNSYLVANIA LIFE INSURANCE CO None PO BOX 130 PENSACOLA FL 325910130 8504321700 PDP

D625 20150217 A D SILVERSCRIPT INSURANCE CO None PO BOX 504849 SAINT LOUIS MO 631504849 8662355660 PDP

D630 20150921 A D ASURIS NORTHWEST HEALTH None 3871 FAIRVIEW INDUSTRIAL DR SE STE 120 SALEM OR 973021172 8005418981 PDP

D635 20150908 A D CIGNA HEALTH CARE None PO BOX 20002 NASHVILLE TN 372024000 8002226700 PDP

D650 20150908 A D RXAMERICA None 221 N CHARLES LINDBERGH DR SALT LAKE CITY UT 841162811 8004296686 PDP

D660 20230929 A D MEDCO None PO BOX 2872 CLINTON IA 527332872 8007584574 PDP

D670 20150908 A D COVENTRY ADVANTRARX None PO BOX 2860 CLINTON IA 527332860 8668235178 PDP

D675 20150908 A D HEALTH NET ORANGE None PO BOX 10198 VAN NUYS CA 914100198 8008068811 PDP

D680 20150908 A D BLUE MEDICARE RX None PO BOX 3897 SCRANTON PA 185050897 8882852249 PDP

D685 20150908 A D BLUE MEDICARE RX None PO BOX 412735 KANSAS CITY MO 641412735 8667552776 PDP

D687 20150908 A D TEXAS HEALTHSPRING None 1500 CAPITOL AVE SACRAMENTO CA 958145006 8002808888 PDP

D690 20150908 A D BLUE CROSS BLUE SHIELD None PO BOX 53066 PHOENIX AZ 850723066 8888320075 PDP

D698 20200325 A D WPS HEALTH INSURANCE None PO BOX 21341 EAGAN MN 551210341 8006881604 PDP

D699 20230601 A F DEVOTED CORE ALABAMA None PO BOX 211524 EAGAN MN 551212724 38500916 MAP

D700 20150909 A D UNITED AMERICAN INSURANCE None PO BOX 8080 MCKINNEY TX 750708080 8665244169 PDP

D705 20150909 A D FIRST HEALTH PREMIER None PO BOX 2858 CLINTON IA 527332858 8668650662 PDP

D706 20181129 A D VIBRANTRX ATTN: MEDIMPACT None 10680 TREENA ST STOP 5 SAN DIEGO CA 921312447 8448263451 PDP

D707 20150909 A D AMERIHEALTH ADVANTAGE None PO BOX 516 ESSINGTON PA 190290516 8884573007 PDP

D710 20150909 A D ARKANSAS BCBS None PO BOX 2181 LITTLE ROCK AR 722032181 8663903369 PDP

D711 20230602 A F DEVOTED CORE OREGON None PO BOX 211524 EAGAN MN 551212724 8003386833 MAP

D720 20150217 A D MEMBERHEALTH None 1500 CAPITOL AVE SACRAMENTO CA 958145006 5184479200 PDP

D722 20150909 A D AARP MEDICARE RX PREFERRED None PO BOX 29300 HOT SPRINGS NATIONAL AR 719039300 8888675562 PDP

D730 20210429 A D AETNA MEDICARE AETNA MEDICARE RX PO BOX 72446 PHOENIX AZ 850501025 8006240756 PDP

D735 20150909 A D HEALTHSPRING None PO BOX 2002 NASHVILLE TN 37202 8888861959 PDP

D742 20150909 A D ELDER HEALTH PDP MID ATLANTIC None 3601 ODONNELL ST BALTIMORE MD 212245238 4435731910 PDP

D750 20150909 A D AMERICAN PROGRESSIVE None 411 N BAYLEN ST PENSACOLA FL 325013901 8504321700 PDP

D755 20150909 A D PRIORITY MEDICARE RX None PO BOX 232 GRAND RAPIDS MI 495010232 6164648820 PDP

D759 20150909 A D EDUCATORS MUTUAL INSURANCE None PO BOX 14711 LEXINGTON KY 405124711 8003169176 PDP

D760 20200401 A D HUMANA INSURANCE COMPANY None PO BOX 14140 LEXINGTON KY 405124140 8002816918 PDP

D765 20150909 A D PRESBYTERIAN INSURANCE CO None PO BOX 26267 ALBUQUERQUE NM 871256267 5059236060 PDP

D769 20150909 A D REGENCE LIFE AND HEALTH None PO BOX 13249 SALEM OR 973091249 8005418981 PDP

D770 20150217 A D SIERRA RX None PO BOX 15645 LAS VEGAS NV 891145645 8667891522 PDP

D780 20150909 A D HEALTHSPRING PDP None PO BOX 20002 NASHVILLE TN 372024000 8885013965 PDP

D782 20150909 A D INSTIL HEALTH INSURANCE CO None PO BOX 1466 AUGUSTA GA 309031466 8774467845 PDP

D784 20150909 A D BLUE CROSS BLUE SHIELD OF NC None PO BOX 17509 WINSTON SALEM NC 271167509 8882474142 PDP

D785 20150909 A D DEAN HEALTH INSURANCE None 1277 DEMING WAY MADISON WI 537171971 6088274372 PDP

D790 20150921 A D UNICARE PDP None PO BOX 110 FOND DU LAC WI 549360110 8664706265 PDP

D795 20150909 A D GHI MEDICARE DRUG PLAN None PO BOX 66752 SAINT LOUIS MO 631666752 8005855786 PDP

D796 20150909 A D WELLCARE PRESCRIPTION ATTN. CLAIMS DEPARTMENT PO BOX 31370 TAMPA FL 336313370 8668006111 PDP

D800 20150909 A D ODS ADVANTAGE RX ATTN. PERS ODS ADVANTAGE RX PO BOX 40327 PORTLAND OR 972400327 8887867509 PDP

D802 20090714 A D BLUEMEDICARE RX None PO BOX 64813 SAINT PAUL MN 551640813 8009266565 PDP

D803 20130612 A D XAMASCRIPT None PO BOX 66583 SAINT LOUIS MO 631666583 8004516245 PDP

D804 20150909 A D MEDCO MEDICARE PRESCRIPTION None PO BOX 66752 SAINT LOUIS MO 631666752 8007584570 PDP

E002 20150909 A D ENVISION RX PLUS None 2181 E AURORA RD STE 201 TWINSBURG OH 440871974 3304058080 PDP

E003 20220914 A F ELDERPLAN FOR MEDICAID BENEFI None PO BOX 73111 NEWNAN GA 302713111 7189217979 MAP

E004 20220914 A F EMBLEMHEALTH VIP DUAL None PO BOX 2845 NEW YORK NY 101162845 8773447364 MAP

E005 20220914 A F EMBLEMHEALTH VIP DUAL RESERVE None 55 WATER ST STE CONC1 NEW YORK NY 100410014 6464475000 MAP

E006 20211007 A P FAC EMPLOYEE SERVICES ATTN HEALTH CLAIMS PO BOX 5620 MADISON WI 537050620 8005584444 PPO

E007 20211007 A P TRISTAR BENEFIT ADMIN. None PO BOX 65887 WEST DES MOINES IA 502650887 8004564584 PPO

E008 20161228 A Q EMPLOYEE HEALTH INSURANCE MANAGEMENT RX 26711 NWESTERN HWY STE 400 SOUTHFIELD MI 480332154 8003113446 PPO

E011 20150217 A P EMERALD HMO None PO BOX 94609 CLEVELAND OH 441014609 8007417562 HMO

E012 20220914 A F EMPIRE MEDIBLUE DUAL ADVANTAG None PO BOX 1407 NEW YORK NY 100081407 8444691762 MAP

E014 20201116 A P EMPIRE BLUE CROSS/BLUE SHIELD ATTN HEALTH CLAIMS PO BOX 3877 NEW YORK NY 100083877 8003330912 PPO

E015 20220914 A F EMPIRE MEDIBLUE HEALTHPLUS DU None 9 PINE ST FL 14 NEW YORK NY 100054702 8337131080 MAP

E016 20221208 A F ESSENCE DUAL ADVANTAGE None PO BOX 5904 TROY MI 480075904 3142092700 MAP

E034 20211007 A P ELECTRICAL WELFARE TRUST FUND LOC 26 ATTN HEALTH CLAIMS 10003 DEREKWOOD LN STE 130 LANHAM MD 207064811 3017311050 PPO

E038 20211007 A P EIT BENEFIT FUND LOC 134 ATTN HEALTH CLAIMS 221 N LA SALLE ST STE 200 CHICAGO IL 606011214 3127825442 PPO

E042 20211007 A P WILLIAM C EARHART CO INC ATTN HEALTH CLAIMS PO BOX 4148 PORTLAND OR 972084148 8005471314 PPO

E051 20161228 A P EMPLOYEE BENEFIT CLAIMS ATTN HEALTH CLAIMS 820 PARISH ST PITTSBURGH PA 152203405 8009224966 PPO

E078 20210806 A P EQUITY LEAGUE WELFARE TRUST FUND ATTN HEALTH CLAIMS 165 W 46TH ST NEW YORK NY 100362501 8003445220 PPO

E100 20210625 A P EMI HEALTH None 5101 S COMMERCE DR MURRAY UT 841074779 8006625850 PPO

E108 20220203 A P EMPLOYEE BENEFIT MGMT CORP ATTN HEALTH CLAIMS PO BOX 9057 DUBLIN OH 430170957 8773040761 PPO

E113 20200213 A P EXCELLUS BCBS None PO BOX 21146 EAGAN MN 551210146 8009208889 PPO

E132 20150921 A P EXCLUSIVE CARE None PO BOX 1508 RIVERSIDE CA 925021508 8009621133 HMO

E169 20211007 A P AUXIENT ATTN HEALTH CLAIMS PO BOX 75008 CEDAR RAPIDS IA 524075008 3193983283 PPO

E217 20150304 A P EMPLOYEE HEALTH SYST HMO None 3131 S ANITA AVE EL MONTE CA 91733 3106411997 HMO

E219 20220203 A P EMPLOYEE BENEFIT ADMIN MGMT CORP ATTN HEALTH CLAIMS PO BOX 5079 WESTLAKE VILLAGE CA 913595079 8002498440 PPO

E251 20161228 A P CBCA ATTN HEALTH CLAIMS 3763 HOWARD HUGHES PKWY LAS VEGAS NV 891690939 7022214690 PPO

E267 20190417 A P ESSENTIAL STAFF CARE None PO BOX 6702 COLUMBIA SC 292606702 8667980803 PPO

E268 20210614 A Q EXPRESS SCRIPTS None PO BOX 52150 PHOENIX AZ 850722150 8008422012 TPP

E270 20250109 A F WELLCARE CA MEDICARE ADVANTAGE PO BOX 260519 PLANO TX 750260519 8669993945 MAP

E288 20200318 A P EMPIRE BLUE CROSS/BLUE SHIELD ATTN HEALTH CLAIMS PO BOX 1407 NEW YORK NY 100081407 8006352184 HMO

E293 20211007 A P EMPLOYEE BENEFIT MGMT SERVICES ATTN HEALTH CLAIMS PO BOX 21367 BILLINGS MT 591041367 4062453575 PPO

E442 20211007 A P EMPLOYEE BENEFIT CONCEPTS INC ATTN HEALTH CLAIMS PO BOX 2365 FARMINGTON HILLS MI 483332365 8003344101 PPO

E564 20220203 A P EMBLEM HEALTH HMO None PO BOX 2814 NEW YORK NY 101162814 8778423625 HMO

E565 20210920 A D EXEMPLAR HEALTH BASIC None 1107 W MARKET CENTER DR HIGH POINT NC 272601642 8882172376 PDP

F003 20220401 A P FRIDAY HEALTH PLANS None PO BOX 194 SIDNEY NE 691620194 8442794335 HMO

F004 20150909 A F FLORIDA SUMMIT ADVANTRA None PO BOX 7808 LONDON KY 407427808 8008473995 MAP

F005 20220914 A F FREEDOM MEDI-MEDI PARTIAL None 5403 N CHURCH AVE TAMPA FL 336145611 8004012740 MAP

F008 20221208 A F FIRST CHOICE VIP CARE PLUS None PO BOX 7106 LONDON KY 407427106 8889780862 MAP

F010 20221208 A F FREEDOM BLUE PPO SIGNATURE None PO BOX 1068 PITTSBURGH PA 152301068 8884594020 MAP

F011 20221223 A F FLORIDA COMPLETE CARE None 201 E PARK AVE ST 400B & 400C TALLAHASSEE FL 32301 8333227526 MAP

F028 20211007 A P REDWOOD HEALTH SERVICES ATTN HEALTH CLAIMS 3570 UNOCAL PL STE 108 SANTA ROSA CA 954031774 8005487677 PPO

F039 20161228 A P FELRA HWF ATTN HEALTH CLAIMS PO BOX 27806 BALTIMORE MD 212857806 8006382972 PPO

F042 20161228 A P FLEX CORP ATTN HEALTH CLAIMS 5700 NW CENTRAL DR STE 320 HOUSTON TX 770922097 8004441311 PPO

F051 20210806 A P STANISLAUS FMC ATTN MEDICAL DENTAL CLAIMS PO BOX 576007 MODESTO CA 953576007 8009627362 PPO

F055 20210806 A P FMC OF KERN AND SANTA BARBARA None 5701 TRUXTUN AVE STE 100 BAKERSFIELD CA 933090651 6613277581 PPO

F061 20230505 A F FLORIDA PHP None PO BOX 46160 LOS ANGELES CA 900460160 8884564715 MAP

F067 20151006 A F UNITED HEALTHCARE WEST None PO BOX 52078 PHOENIX AZ 850722078 8009509355 MAP

F078 20210806 A P FMC OF TULARE AND KINGS ATTN HEALTH CLAIMS 3335 S FAIRWAY ST VISALIA CA 932777781 8006625502 PPO

F088 20230505 A F FALLON MEDICARE PLUS ORANGE None PO BOX 211308 EAGAN MN 551212908 8003255669 MAP

F089 20211007 A P FALLON COMMUNITY HEALTH PLAN ATTN HEALTH CLAIMS PO BOX 15121 WORCESTER MA 16150121 8008685200 PPO

F104 20241223 A F FHCN PACE None 3736 MT DIABLO BLVD STE 240 LAFAYETTE CA 945493611 7015669255 MAP

F117 20210806 A P FMC OF MERCED AND MARIPOSA ATTN HEALTH CLAIMS PO BOX 3846 MERCED CA 953441846 2097239157 PPO

F120 20200318 A P HUMBOLDT IPA ATTN HEALTH CLAIMS 2662 HARRIS ST EUREKA CA 955034856 7074434563 PPO

F138 20220203 A P FIRST CHOICE HEALTH ADMIN. ATTN HEALTH CLAIMS PO BOX 12659 SEATTLE WA 981114659 8004303818 PPO

F167 20240103 A D FEP MEDICARE PDP None PO BOX 6590 LEES SUMMIT MO 640646590 8883387737 PDP

F186 20161228 A P FEDERATED MUTUAL INS ATTN HEALTH CLAIMS PO BOX 50487 INDIANAPOLIS IN 462500487 3178497550 PPO

F210 20160120 A P FARM BUREAU LIFE INS CO ATTN HEALTH CLAIMS 5400 UNIVERSITY AVE WEST DES MOINES IA 502665950 5152255400 PPO

F235 20210614 A Q NAVITUS HEALTH SOLUTIONS None PO BOX 999 APPLETON WI 549120999 8555701600 PPO

F237 20211007 A P FOX EVERETT TPA ATTN HEALTH CLAIMS PO BOX 6012 RIDGELAND MS 391586012 8774766327 PPO

F249 20161228 A P FOX VALLEY LABORERS HWF 582 ATTN HEALTH CLAIMS 2400 BIG TIMBER RD STE 206 ELGIN IL 601247835 8668280900 PPO

F271 20211007 A P FCE BENEFIT ADMINISTRATORS None 4615 WALZEM RD SAN ANTONIO TX 782181667 8008999355 PPO

F291 20160121 A P FOUNDATION/FRESNO CO ATTN HEALTH CLAIMS 1180 E SHAW AVE STE 101 FRESNO CA 937107812 2092285487 PPO

F773 20200325 A D FOX INSURANCE COMPANY None 6263 N SCOTTSDALE RD SCOTTSDALE AZ 852505406 9999999999 PDP

G001 20190301 A P GREAT WEST NATIONAL ACCOUNT ATTN HEALTH CLAIMS PO BOX 188061 CHATTANOOGA TN 374228061 8006638081 PPO

G004 20160322 A F BLUE SHIELD OF CALIFORNIA None PO BOX 752 BAKERSFIELD CA 933020752 6617168800 MAP

G005 20230324 A F GOLDEN STATE MEDICARE HEALTH P CLAIMS PO BOX 10729 NEWPORT BEACH CA 926585006 8775414111 MAP

G006 20220914 A F GATEWAY HEALTH MEDICARE ASSUR None PO BOX 93 SIDNEY NE 691620093 4122551323 MAP

G007 20220914 A F GEISINGER GOLD SECURE RX None PO BOX 853910 RICHARDSON TX 750853910 5702718771 MAP

G008 20221208 A F GENERATIONS CLASSIC None PO BOX 2328 OKLAHOMA CITY OK 731012328 4052805555 MAP

G012 20211007 A P GEISINGER HEALTH PLAN None PO BOX 8200 DANVILLE PA 178218200 8004474000 HMO

G015 20210416 A L INDEPENDENCE DENTAL ATTN DENTAL CLAIMS PO BOX 13668 READING PA 196123668 8002277620 PPO

G016 20160120 A P GROUP HEALTH PLAN ATTN HEALTH CLAIMS 2420 FENTON ST STE 100 CHULA VISTA CA 919143516 8002247766 HMO

G022 20210415 A L GUARDIAN DENTAL PLAN None PO BOX 981572 EL PASO TX 799981572 8005417846 PPO

G032 20150811 A D GRANITE ALLIANCE None PO BOX 9780 SALT LAKE CITY UT 841099780 8555862573 PDP

G043 20161228 A P GMS INC ATTN HEALTH CLAIMS PO BOX 24708 OMAHA NE 681240708 8002235508 PPO

G044 20211007 A P GROUP BENEFIT SERV ATTN HEALTH CLAIMS 6 NORTH PARK DR STE 310 HUNT VALLEY MD 210301821 8006386085 PPO

G051 20151019 A L GROUP AND PENSION ADMIN ATTN DENTAL CLAIMS PO BOX 749075 DALLAS TX 753749075 8662063224 PPO

G100 20200325 A P GROUP HEALTH INC ATTN HEALTH CLAIMS PO BOX 2833 NEW YORK NY 101162833 8002239870 PPO

G118 20161228 A P GRANITE SERV INC ATTN HEALTH CLAIMS PO BOX 5108 TAMPA FL 336755108 8038755800 PPO

G122 20200318 A P GILSBAR INC ATTN HEALTH CLAIMS PO BOX 2947 COVINGTON LA 704342947 8004457227 PPO

G126 20200310 A P GEHA None PO BOX 4665 INDEPENDENCE MO 640514665 8008216136 PPO

G202 20160119 A P GOLDEN RULE INSURANCE COMPANY ATTN HEALTH CLAIMS PO BOX 31374 SALT LAKE CITY UT 841310374 8006578205 PPO

G206 20161228 A P GROUP HEALTH INC ATTN HEALTH CLAIMS PO BOX 2832 NEW YORK NY 101162832 8003585500 PPO

G212 20160119 A P GROUP & PENSION ADMINISTRATORS ATTN HEALTH CLAIMS PO BOX 749075 DALLAS TX 753749075 8008436705 PPO

G226 20211007 A P GROUP & PENSION ADMINISTRATORS ATTN: HEALTH CLAIMS 12770 MERIT DR STE 200 DALLAS TX 752511233 8008277223 PPO

G230 20200325 A P GENSTAR HEALTH PLAN NEW SYSTEMS INC PO BOX 1255 STAMFORD CT 69041255 8003880508 PPO

G298 20161228 A P GOLDEN HEALTH INSURANCE ATTN HEALTH CLAIMS 6400 LAUREL CANYON BLVD STE 650 NORTH HOLLYWOOD CA 916061571 8185064100 PPO

G305 20161228 A P GROUP HEALTH INC ATTN HEALTH CLAIMS 2829 UNIVERSITY AVE SE MINNEAPOLIS MN 554143230 6126238400 PPO

G339 20210415 A L THE GUARDIAN ATTN HEALTH CLAIMS PO BOX 981572 EL PASO TX 799981572 8005417846 PPO

G346 20210415 A L GUARDIAN DENTAL PLAN ATTN GROUP DENTAL CLAIMS PO BOX 981572 EL PASO TX 799981572 8005417846 TPD

G359 20161228 A P GROUP AND PENSION ADMIN INC ATTN HEALTH CLAIMS PO BOX 691930 SAN ANTONIO TX 782691930 8005943973 PPO

H002 20160303 A F HUMANA HUMANA CLAIMS OFFICE PO BOX 14601 LEXINGTON KY 405124601 8004574708 MAP

H004 20220914 A F HAP EMPOWERED DUALS None 2050 S. LINDEN ROAOD FLINT MI 48532 8102302046 MAP

H006 20160303 A F HUMANA HUMANA CLAIMS OFFICE PO BOX 14601 LEXINGTON KY 405124601 8004574708 MAP

H007 20160119 A P HEALTH PLAN SERVICES ATTN HEALTH CLAIMS PO BOX 720 PUEBLO CO 810020720 8778423210 PPO

H008 20230830 A F HEALTH FIRST None 6450 US HIGHWAY 1 ROCKLEDGE FL 329555747 8007167737 MAP

H009 20220914 A F HEALTH CHOICE GENERATIONS UTA None PO BOX 45900 SALT LAKE CITY UT 841450900 8444578943 MAP

H010 20161228 A P HEALTH SERVICE SYSTEM ATTN HEALTH CLAIMS 1145 MARKET ST FL 2 SAN FRANCISCO CA 941031547 8007952351 PPO

H011 20220914 A F HEALTH CHOICE PATHWAY None PO BOX 52033 PHOENIX AZ 850722033 8006568991 MAP

H012 20230829 A F HUMANA HUMANA CLAIMS OFFICE PO BOX 14601 LEXINGTON KY 405124601 8007945907 MAP

H013 20200304 A F HEALTH NET MEDICARE CLAIMS PO BOX 14703 LEXINGTON KY 405124703 8002754737 MAP

H014 20210415 A L HAWAII DENTAL SERVICE ATTN DENTAL CLAIMS 900 FIRST STREET MALL STE 1900 HONOLULU HI 968134108 8085211431 PPO

H015 20220914 A F HEALTHY BLUE + MEDICARE None PO BOX 62947 VIRGINIA BEACH VA 234662947 8337131078 MAP

H018 20161228 A P HEALTHCARE BENEFITS INC None PO BOX 833889 RICHARDSON TX 750833889 9726694600 PPO

H019 20160119 A F HUMANA CLAIMS OFFICE PO BOX 14601 LEXINGTON KY 405124601 8778091810 MAP

H020 20160119 A F HUMANA CLAIMS OFFICE PO BOX 14601 LEXINGTON KY 405124601 8778091810 MAP

H021 20220914 A F HEALTHY BLUE DUAL ADVANTAGE None PO BOX 61010 VIRGINIA BEACH VA 234661010 8442095406 MAP

H022 20210806 A P HEALTH PLANS INC. None PO BOX 5199 WESTBOROUGH MA 15815199 8777346692 PPO

H024 20140123 A F HUMANA CLAIMS OFFICE PO BOX 14601 LEXINGTON KY 405124601 8004574708 MAP

H027 20220914 A F HEALTHPARTNERS MINNESOTA SENI None PO BOX 1309 MINNEAPOLIS MN 554401309 9529677029 MAP

H028 20160119 A F HUMANA CLAIMS OFFICE PO BOX 14601 LEXINGTON KY 405124601 8778091810 MAP

H029 20220914 A F HMSA AKAMAI ADVANTAGE DUAL CA None PO BOX 860 HONOLULU HI 968080860 8089486000 MAP

H030 20160119 A F HUMANA CLAIMS OFFICE PO BOX 14601 LEXINGTON KY 405124601 8778091810 MAP

H031 20220914 A F HUMANA GOLD PLUS None PO BOX 14601 LEXINGTON KY 405124601 8004574708 MAP

H032 20150811 A D HEALTH ALLIANCE MEDICARE None 301 S VINE ST URBANA IL 618013347 8552919311 PDP

H033 20230831 A F HUMANA GOLD PLUS None PO BOX 14732 LEXINGTON KY 405124732 8004574708 MAP

H034 20161228 A P HARRINGTON BENEFIT SERVICES ATTN HEALTH CLAIMS PO BOX 740 PUEBLO CO 810020740 8006883860 PPO

H035 20220914 A F HUMANA GOLD PLUS None PO BOX 14601 LEXINGTON KY 405124601 8004574708 MAP

H036 20220914 A F HUMANA GOLD PLUS None PO BOX 14601 LEXINGTON KY 405124601 8004574708 MAP

H037 20220914 A F HUMANA GOLD PLUS None PO BOX 14601 LEXINGTON KY 405124601 8004574708 MAP

H038 20220914 A F HUMANACHOICE None PO BOX 14601 LEXINGTON KY 405124601 8004574708 MAP

H039 20220914 A F HUMANACHOICE None PO BOX 14601 LEXINGTON KY 405124601 8004574708 MAP

H041 20161228 A P HARRISON ELECTRICAL WKR HWTF ATTN HEALTH CLAIMS 1220 SW MORRISON ST STE 300 PORTLAND OR 972052299 5032240048 PPO

H042 20220914 A F HUMANACHOICE None PO BOX 14601 LEXINGTON KY 405124601 8004574708 MAP

H043 20220914 A F HUMANACHOICE None PO BOX 14601 LEXINGTON KY 405124601 8004574708 MAP

H044 20221205 A P HUMANA MEDICAL PLAN None PO BOX 14601 LEXINGTON KY 405124601 8004486262 PPO

H045 20221208 A F HEALTH FIRST CLASSIC PLAN None PO BOX 958438 LAKE MARY FL 327958438 8007167737 MAP

H046 20221208 A F HUMANA CHOICE None 774 VETERANS MEMORIAL BLVD METAIRIE LA 700052840 8552296848 MAP

H047 20221208 A F HUMANA GOLD PLUS None PO BOX 14601 LEXINGTON KY 405124601 8004574708 MAP

H048 20221208 A F HUMANACHOICE None PO BOX 14601 LEXINGTON KY 405124601 8004574708 MAP

H049 20230526 A F HIGHMARK BLUE CROSS BLUE SHIE None 3480 2ND AVE SACRAMENTO CA 958172803 8003292792 MAP

H051 20230712 A F HUMANA COMMUNITY HMO None PO BOX 14601 LEXINGTON KY 405124601 8004574708 MAP

H052 20221216 A F HUMANA GOLD PLUS INTEGRATED None PO BOX 14601 LEXINGTON KY 405124601 8007873311 MAP

H053 20221223 A F HEALTHFIRST SIGNATURE None 545 E 142ND ST BRONX NY 104542110 8557711081 MAP

H054 20221223 A F HEALTHPARTNERS JOURNEY STEADY None PO BOX 1289 MINNEAPOLIS MN 554401289 9528836655 MAP

H055 20221223 A F HEALTHPARTNERS UNITYPOINT HEA None PO BOX 1289 MINNEAPOLIS MN 554401289 8883600544 MAP

H056 20241015 A P HEALTHFIRST NY None PO BOX 5168 NEW YORK NY 102745168 8888011660 PPO

H059 20160119 A P HEALTH ALLIANCE PLAN ATTN HEALTH CLAIMS 2850 W GRAND BLVD DETROIT MI 482022643 8883102533 HMO

H062 20160119 A P HERITAGE CONSULTANTS INC ATTN HEALTH CLAIMS PO BOX 1387 LAKE ALFRED FL 338501387 8639674139 PPO

H071 20160119 A D HIP HEALTH PLAN OF NEW YORK None 186 FREDRICK ST PARAMUS NJ 76524545 6464477197 PDP

H102 20190722 A P HEALTHCOMP ADMINISTRATORS ATTN HEALTH CLAIMS PO BOX 45018 FRESNO CA 937185018 8004427247 PPO

H103 20190417 A P HEALTH PLAN OF NEVADA ATTN BRIDGET COUGHLIN PO BOX 15645 LAS VEGAS NV 891145645 8007771840 HMO

H104 20210326 A L HEALTHCOMP ADMIN DENTAL None PO BOX 45018 FRESNO CA 937185018 8004427247 PPO

H105 20211007 A P HEALTH ALLIANCE MEDICAL PLAN ATTN HEALTH CLAIMS 301 S VINE ST URBANA IL 618017402 8008513379 PPO

H106 20210326 A E HEALTHCOMP ADMIN VISION None PO BOX 45018 FRESNO CA 937185018 8004427247 PPO

H107 20240916 A F HIGH DESERT PACE None 11833 AMETHYST RD VICTORVILLE CA 923929221 8885750609 MAP

H108 20151005 A L UMR DENTAL CLAIMS None PO BOX 30541 SALT LAKE CITY UT 841300541 8008269781 PPO

H117 20151005 A L HEALTH RESOURCES INC ATTN DENTAL CLAIMS PO BOX 659 EVANSVILLE IN 477040659 8007271444 PPO

H118 20221208 A L HUMANA DENTAL ATTN DENTAL CLAIMS PO BOX 14611 LEXINGTON KY 405124611 8778453480 PPO

H120 20230505 A F HIGHMARK BLUE CROSS BLUE None PO BOX 226 PITTSBURGH PA 152300226 8552159239 MAP

H121 20211007 A P HERITAGE HEALTH PLANS ATTN HEALTH CLAIMS PO BOX 10749 BAKERSFIELD CA 933890749 6.61327E+13 PPO

H122 20160204 A P HIGHMARK BCBS ATTN HEALTH CLAIMS PO BOX 1505 RED BLUFF CA 960801505 8008165527 PPO

H130 20191118 A P UHA HEALTH INSURANCE None 700 BISHOP ST STE 300 HONOLULU HI 968134100 8004584600 PPO

H140 20160204 A P HEALTH CARE SERVICES CORP None PO BOX 27360 ALBUQUERQUE NM 871257360 8008358699 PPO

H145 20211007 A P HEALTHCARE MGMT ADMIN INC ATTN HEALTH CLAIMS PO BOX 85008 BELLEVUE WA 980158508 8008697093 PPO

H149 20151005 A P GMS TPA SERVICES ATTN HEALTH CLAIMS PO BOX 21933 EAGAN MN 551210933 8005522929 PPO

H150 20210625 A P WELFARE & PENSION ADMIN SRVS None PO BOX 34203 SEATTLE WA 981241203 8007357053 PPO

H154 20211007 A F HUMANA MEDICAL PLAN None PO BOX 14601 LEXINGTON KY 405124601 8778091810 HMO

H175 20161228 A P HOTEL EMPLOYEES RESTAURANT ATTN HEALTH CLAIMS PO BOX 6020 AURORA IL 605980020 8008413380 PPO

H179 20160119 A P HOMETOWN HEALTH NETWORK ATTN HEALTH CLAIMS 52160 NATIONAL RD E SAINT CLAIRSVILLE OH 439509306 8778477901 PPO

H180 20160303 A P HUMANA ATTN HEALTH CLAIMS PO BOX 14601 LEXINGTON KY 405124601 8778091810 PPO

H197 20160119 A P HEALTH CLAIM SERVICES None PO BOX 9615 DEERFIELD BEACH FL 334429615 8002223560 PPO

H200 20160301 A P HEALTH PLAN OF SAN JOAQUIN ATTN HEALTH CLAIMS PO BOX 839 EL CERRITO CA 945300839 8009327526 HMO

H202 20221205 A P HUMANA HEALTH CARE PLANS ATTN HEALTH CLAIMS PO BOX 14601 LEXINGTON KY 405124601 8004722249 HMO

H204 20160119 A P HEWITT COLEMAN & ASSOCIATES ATTN HEALTH CLAIMS PO BOX 6528 GREENVILLE SC 296066528 8882986828 PPO

H205 20230110 A L HUMANA DENTAL HMO None PO BOX 14601 LEXINGTON KY 405124601 8778771051 HMO

H219 20250109 A F WELLCARE BY HEALTH NET DSNP None 7700 FORSYTH BLVD CLAYTON MO 631051813 8006889021 MAP

H220 20250110 A F WELLCARE BY HEALTHNET MEDICARE ADVANTAGE 7700 FORSYTH BLVD CLAYTON MO 631051813 8002754737 MAP

H224 20160119 A P HARVEST LIFE INSURANCE CO ATTN HEALTH CLAIMS PO BOX 40010 LYNCHBURG VA 245064010 8002530856 PPO

H226 20200325 A P HEALTH CARE ADMIN CITY OF MUSKOGEE PO BOX 1309 MUSKOGEE OK 744021309 9186826602 PPO

H228 20160119 A P HARTFORD ACCIDENT/INDEMNITY ATTN HEALTH CLAIMS PO BOX 1868 GRAPEVINE TX 760991868 8443804557 PPO

H230 20200325 A P HEALTH ECONOMICS GRP ATTN HEALTH CLAIMS 1050 UNIVERSITY AVE STE A14607 ROCHESTER NY 146071744 7163853390 PPO

H231 20190724 A P THE HEALTH PLAN None 1110 MAIN ST WHEELING WV 260032704 8888477902 HMO

H233 20161228 A P HEALTH CARE MEDICAL CTR ATTN HEALTH CLAIMS 14662 NEWPORT AVE TUSTIN CA 927806064 7148389600 PPO

H238 20160119 A P HARTWELL CORP ATTN HEALTH CLAIMS 900 RICHFIELD RD PLACENTIA CA 928706732 7149934200 PPO

H252 20190301 A P HEALTH NET ATTN COMMERCIAL CLAIMS PO BOX 9040 FARMINGTON MO 636409040 8006417761 PPO

H253 20190417 A P HEALTH NET SNF None PO BOX 9040 FARMINGTON MO 636409040 8006417761 PPO

H254 20071210 A P HEALTH PLUS HMO ATTN HEALTH CLAIMS PO BOX 2113 SEATTLE WA 981112113 2066704700 HMO

H257 20220121 A F HEALTH NET MEDICARE COMPLEMENT None PO BOX 9030 FARMINGTON MO 636409030 8884458913 MAP

H258 20231214 A F HUMANA COMMUNITY HMO None PO BOX 14168 LEXINGTON KY 405124168 8004574708 MAP

H263 20161228 A P HEALTH FUTURE INC ATTN HEALTH CLAIMS 777 MURPHY RD MEDFORD OR 975048425 5037726062 TPM

H272 20161228 A P HEALTH CARE SUPPORT ATTN HEALTH CLAIMS 25 COLUMBIA HTS BROOKLYN NY 112011300 8005544022 PPO

H274 20161228 A P HEALTHY ALLIANCE LIFE INS ATTN HEALTH CLAIMS 1831 CHESTNUT ST SAINT LOUIS MO 631032225 8002279126 PPO

H283 20200325 A P HEALTH CARE FUND OF SAN MATEO ATTN HEALTH CLAIMS 801 GATEWAY BLVD STE 100 SOUTH SAN FRANCISCO CA 940807408 6506162056 PPO

H284 20160322 A P NEVADACARE INC. None PO BOX 82505 LAS VEGAS NV 891802505 8004479834 HMO

H288 20161228 A P HAWAII MGMT ALLIANCE ASSOC ATTN HEALTH CLAIMS PO BOX 32580 HONOLULU HI 968032580 8006216998 PPO

H291 20160217 A P HEALTH FIRST TPA ATTN HEALTH CLAIMS PO BOX 132317 TYLER TX 757132317 8004772287 PPO

H295 20210625 A P HEALTHSCOPE BENEFITS INC ATTN HEALTH CLAIMS PO BOX 16203 LUBBOCK TX 794906203 8008542339 PPO

H297 20160217 A P HEALTH MARKET INC ATTN HEALTH CLAIMS PO BOX 69510 HARRISBURG PA 171069510 8002821414 PPO

H299 20161228 A P HARRINGTON BENEFITS SERVICES ATTN HEALTH CLAIMS PO BOX 725 PUEBLO CO 810020725 8774723028 PPO

H300 20161228 A P HEALTH RISK MGMT INC ATTN HEALTH CLAIMS PO BOX 1479 MINNEAPOLIS MN 554401479 8004220055 PPO

H306 20160914 A P HOLMAN GROUP ATTN HEALTH CLAIMS 9451 CORBIN AVE STE 100 NORTHRIDGE CA 913241662 8187041444 PPO

H307 20220203 A P HEALTH PARTNERS MEDICAL ATTN HEALTH CLAIMS PO BOX 1289 MINNEAPOLIS MN 554401289 8004444558 PPO

H308 20160217 A L HEALTH PARTNERS DENTAL ATTN DENTAL CLAIMS PO BOX 1172 MINNEAPOLIS MN 554401172 8006421323 PPO

H321 20150218 A F HEALTH NET LIFE INSURANCE ATTN: COMMERCIAL CLAIMS PO BOX 14703 LEXINGTON GA 40513 8006417761 MAP

H325 20150218 A F HEALTHPLAN OF SAN MATEO CARE ADVANTAGE 701 GATEWAY BLVD STE 400 SOUTH SAN FRANCISCO CA 940807041 6506162174 MAP

H331 20211118 A F HEALTH NEW ENGLAND ATTN: MEDICARE 1 MONARCH PL STE 1500 SPRINGFIELD MA 11444035 8774433313 HMO

H413 20190301 A P HEALTH NET HMO None PO BOX 9040 FARMINGTON MO 636409040 8006417761 HMO

H419 20220301 A F HUMANACHOICE (NY) None PO BOX 14601 LEXINGTON KY 405124601 8004574708 MAP

H422 20130726 A F HUMANA HEALTH PLAN OF CALIFORNIA PO BOX 14601 LEXINGTON KY 405124601 8004574708 MAP

H426 20220118 A F HUMANA GOLD PLUS (NV) None PO BOX 14601 LEXINGTON KY 405124601 8004574708 MAP

H427 20220301 A F HEALTHSUN SUNPLUS ADVANTAGE None 9250 W FLAGLER ST STE 600 MIAMI FL 331743460 3054474458 MAP

H429 20220118 A F HUMANA CHOICE (OR) None PO BOX 14601 LEXINGTON KY 405124601 8004574708 MAP

H430 20220118 A F HUMANA GOLD PLUS (TX) None PO BOX 14601 LEXINGTON KY 405124601 8004574708 MAP

H431 20230831 A F HUMANACHOICE (OK) None PO BOX 14601 LEXINGTON KY 405124601 8004574708 MAP

H432 20220120 A F HUMANA GOLD PLUS (WA) None PO BOX 14601 LEXINGTON KY 405124601 8004574708 MAP

H433 20220301 A F HUMANA GOLD PLUS None PO BOX 14601 LEXINGTON KY 405124601 8004574708 MAP

H434 20220301 A F HUMANA GOLD PLUS (AZ) None PO BOX 30607 SALT LAKE CITY UT 841300607 8004574708 MAP

H435 20220302 A F HUMANACHOICE PPO None PO BOX 14601 LEXINGTON KY 405124601 8004574708 MAP

H437 20231011 A P HEALTHSMART None PO BOX 240669 APPLE VALLEY MN 551240669 8665247328 PPO

H438 20220330 A F HUMANACHOICE (TX) None PO BOX 14601 LEXINGTON KY 405124601 8004574708 MAP

H440 20220330 A F HUMANA COMMUNITY HMO None PO BOX 14601 LEXINGTON KY 405124601 8004574708 MAP

H441 20220330 A F HUMANACHOICE (NC) None PO BOX 14601 LEXINGTON KY 405124601 8004574708 MAP

H442 20220510 A F HUMANACHOICE (OK) None PO BOX 14601 LEXINGTON KY 405124601 8004574708 MAP

H443 20220602 A F HUMANACHOICE (MS) None PO BOX 14601 LEXINGTON KY 405124601 8004574708 MAP

H450 20210930 A P HI WESTERN MANAGEMENT GROUP None PO BOX 32580 HONOLULU HI 968032580 8089414622 PPO

H511 20210421 A P HEALTHWORX None 801 GATEWAY BLVD STE 100 SOUTH SAN FRANCISCO CA 940807408 8007504776 HMO

H783 20230808 A F HUMANA GOLD PLUS None PO BOX 14601 LEXINGTON KY 405124601 8004486262 MAP

H785 20230201 A F CAREADVANTAGE CAL MEDICONNECT None 801 GATEWAY BLVD STE 100 SOUTH SAN FRANCISCO CA 940807408 6506160050 MAP

H980 20230728 A F HEALTHTEAM ADVANTAGE PLAN None 7800 MCCLOUD RD STE 100 GREENSBORO NC 274099821 8889651965 MAP

H982 20230808 A F SOLIS SPF None PO BOX 211486 EAGAN MN 551213086 8444476547 MAP

H999 20230406 A D MEDICARE PT D HCBS ELIGIBLE None 1500 CAPITOL AVE SACRAMENTO CA 958145006 9999999999 PPO

I005 20161228 A P INSURANCE CLAIM SERVICE ATTN HEALTH CLAIMS PO BOX 43350 BIRMINGHAM AL 352430350 8007418688 PPO

I006 20220914 A F ICARE MEDICARE PLAN None PO BOX 224255 DALLAS TX 752224255 4142234847 MAP

I008 20221216 A F IEHP DUALCHOICE None PO BOX 4349 RANCHO CUCAMONGA CA 917294349 8772734347 MAP

I009 20230526 A F INDEPENDENT HEALTH MEDICARE P None 511 FARBER LAKES DR BUFFALO NY 142215779 7162504401 MAP

I010 20200325 A F IEHP HEALTH ACCESS None PO BOX 1800 RANCHO CUCAMONGA CA 917291800 9098902790 MAP

I011 20221216 A F INNOVATIVE INTEGRATED HEALTH None 1200 NEWPORT CENTER DR STE 230 NEWPORT BEACH CA 926600933 5594006420 MAP

I012 20230526 A F IIHCP COMMUNITY CHOICE None 2042 KERN ST FRESNO CA 937212008 5594006426 MAP

I013 20161228 A P INSURANCE SYSTEM INC. ATTN HEALTH CLAIMS PO BOX 2175 MONROE LA 712072175 8002558730 PPO

I014 20240709 A P INDIANA UNIVERSITY HLTH None PO BOX 11196 PORTLAND ME 41047196 6689555980 PPO

I018 20161228 A P INSURANCE CO OF NORTH AMERICA ATTN HEALTH CLAIMS PO BOX 30007 RENO NV 895203007 7753561159 PPO

I038 20180405 A P HEALTH NET OF ARIZONA ATTN ACS-HN PO BOX 9040 FARMINGTON MO 636409040 8006417761 PPO

I046 20200325 A P CONIFER HEALTH None 7624 WARREN PKWY FRISCO TX 750344158 8184615000 PPO

I048 20180405 A P HEALTH NET OF ARIZONA INC ATTN HEALTH CLAIMS PO BOX 9040 FARMINGTON MO 636409040 8006417761 HMO

I084 20221202 A F IEHP DUALCHOICE None PO BOX 4349 RANCHO CUCAMONGA CA 917294349 8772734347 MAP

I096 20161228 A P AMERIHEALTH ADMINISTRATORS ATTN HEALTH CLAIMS PO BOX 21545 EAGAN MN 551210545 8008415328 PPO

I104 20211227 A P ILWU-PMA BENEFIT PLAN ATTN HEALTH CLAIMS PO BOX 429101 SAN FRANCISCO CA 941429101 8009557376 PPO

I105 20220301 A F IMPERIAL INSURANCE COMPANY None PO BOX 60874 PASADENA CA 911166874 6267080333 MAP

I124 20161228 A P INSURANCE ADMIN OF AMERICA ATTN: MEDICAID/MEDICAL CLAIMS PO BOX 5082 MOUNT LAUREL NJ 80545082 8009896739 TPM

I126 20240916 A F INNOVAGE CALIFORNIA PACE None PO BOX 21931 EAGAN MN 551210931 7203827015 MAP

I183 20190722 A P AMERIBEN IEC GROUP ATTN HEALTH CLAIMS PO BOX 7186 BOISE ID 837071186 2083447910 PPO

I187 20180917 A F IMPERIAL HEALTH PLAN OF CA None 600 S LAKE AVE STE 308 PASADENA CA 911063955 5622395675 MAP

I224 20200318 A P SELECT HEALTH None PO BOX 30192 SALT LAKE CITY UT 841300192 8015338282 HMO

I225 20211007 A P INDEPENDENT HEALTH ATTN MARY LOU BRADLEY 511 FARBER LAKES DR BUFFALO NY 142215779 8002471466 PPO

I228 20211007 A P INTERACTIVE MEDICAL SYST ATTN HEALTH CLAIMS PO BOX 1349 WAKE FOREST NC 275881349 8004268739 PPO

I234 20200318 A P IPM HEALTH AND WELFARE TRUST ATTN HEALTH CLAIMS 1168 E LA CADENA DR RIVERSIDE CA 925078617 9516841791 PPO

I238 20230808 A F INNOVAGE CA PACE SACRAMENTO None PO BOX 21931 EAGAN MN 551210931 8555427622 MAP

I259 20200213 A F INTERVALLEY HEALTH PLAN None 300 S PARK AVE POMONA CA 917661501 8889491680 MAP

I470 20150924 A D TEAMSTAR MEDICARE PART D None PO BOX 29046 HOT SPRINGS NATIONAL AR 719039046 8664127445 PDP

I607 20230808 A F INNOVAGE CA PACE None PO BOX 21931 EAGAN MN 551210931 8665359350 MAP

J002 20230526 A F JOHNS HOPKINS ADVANTAGE MD None PO BOX 4227 SCRANTON PA 185056227 8772934998 MAP

J047 20211007 A P SHASTA ADMIN SERVICE ATTN HEALTH CLAIMS PO BOX 1747 REDMOND OR 977564001 8004414518 PPO

J063 20190417 A P JOINT BENEFIT TRUST ATTN HEALTH CLAIMS 4160 DUBLIN BLVD STE 410 DUBLIN CA 945687723 8005284357 PPO

J064 20151006 A L JOINT BENEFIT TRUST DENTAL ATTN DENTAL CLAIMS 4160 DUBLIN BLVD STE 400 DUBLIN CA 945687756 8005284357 PPO

J123 20211007 A P SOUTHWEST SERVICES ADMIN ATTN HEALTH CLAIMS 5251 S GREEN ST STE 200 MURRAY UT 841232995 8003453248 PPO

J162 20211020 A P J.P. FARLEY CORPORATION ATTN HEALTH CLAIMS PO BOX 458022 WESTLAKE OH 441458022 8006340173 PPO

K002 20161010 A P KERN LEGACY None 1115 TRUXTUN AVE FL 1ST BAKERSFIELD CA 933014629 6618683280 PPO

K005 20220302 A F KELSEYCARE ADVANTAGE RX None PO BOX 84156 PEARLAND TX 775840018 8006334227 MAP

K006 20220330 A F KAISER SENIOR ADVANTAGE (HI) None PO BOX 371860 DENVER CO 802375860 8008052739 MAP

K007 20220602 A F KEYSTONE 65 FOCUS None PO BOX 7799 PHILADELPHIA PA 191017799 8006453965 MAP

K062 20220203 A P KEENAN AND ASSOCIATES ATTN HEALTH CLAIMS PO BOX 2707 TORRANCE CA 905092707 8006533626 PPO

K067 20160330 A P KEY BENEFITS ADMIN ATTN HEALTH CLAIMS 8330 ALLISON POINTE TRL INDIANAPOLIS IN 462501682 8003314757 PPO

K101 20190801 A P KAISER PERMANENTE INSURANCE CO None PO BOX 261155 PLANO TX 750261155 8007880710 PPO

K113 20211020 A P KEMPTON GROUP ADMIN INC ATTN HEALTH CLAIMS PO BOX 54889 OKLAHOMA CITY OK 731541889 8003249396 PPO

K129 20151013 A L KCL GROUP DENTAL None PO BOX 9040 AUSTIN TX 787669040 8008745254 PPO

K301 20240207 A F KAISER FOUNDATION HP INC None PO BOX 12923 OAKLAND CA 946042923 8004430815 MAP

K302 20240207 A F KAISER FOUNDATION HP INC None PO BOX 12923 OAKLAND CA 946042923 8004430815 MAP

K895 20220225 A F KAISER SENIOR ADVANTAGE None PO BOX 371860 DENVER CO 802375860 8002324404 MAP

K896 20230830 A F KAISER PERMANENTE MEDICARE None PO BOX 371860 DENVER CO 802375860 8887775536 MAP

K897 20220120 A F KAISER PERMANENTE MEDICARE None PO BOX 378021 DENVER CO 802378021 2066304600 MAP

K898 20190417 A K KAISER NORCAL - SELF-FUNDED None PO BOX 12923 OAKLAND CA 946042923 8003903510 HMO

K899 20190417 A K KAISER SOCAL - SELF-FUNDED None PO BOX 7004 DOWNEY CA 902428004 8003903510 HMO

K990 20181221 A K KAISER NORCAL - COMMERCIAL RX None PO BOX 12923 OAKLAND CA 946042923 8003903510 HMO

K992 20181221 A K KAISER SOCAL - COMMERCIAL RX None PO BOX 7004 DOWNEY CA 902428004 8003903510 HMO

K994 20151014 A F KAISER SENIOR ADVANTAGE None PO BOX 370050 DENVER CO 802370050 8772218221 MAP

K995 20151014 A F KAISER SENIOR ADVANTAGE None PO BOX 370050 DENVER CO 802370050 8772218221 MAP

K999 20130820 A F KAISER SENIOR ADVANTAGE None PO BOX 24010 OAKLAND CA 946231010 8004430815 MAP

L005 20230830 A F LA COAST PACE None 1220 E 4TH ST LONG BEACH CA 908021831 8885304415 MAP

L006 20221216 A F LEON MEDIDUAL None 9600 NW 41ST ST STE 210 DORAL FL 331782306 3055415366 MAP

L010 20180510 A P LOMA LINDA UNIVERSITY None PO BOX 1770 LOMA LINDA CA 923540570 9096514010 PPO

L045 20191119 A P 90 DEGREE BENEFITS None 450 RIVERCHASE PKWY E HOOVER AL 352442858 8337488876 PPO

L068 20211020 A P LABORERS METROPOLITAN HEALTH ATTN HEALTH CLAIMS 6525 CENTURION DR LANSING MI 489179275 8002280048 PPO

L102 20200326 A P LABORERS HWTF OF SOUTHERN CA ATTN HEALTH CLAIMS 4399 SANTA ANITA AVE EL MONTE CA 917311648 8008875679 PPO

L103 20230505 A F LONGEVITY HEALTH PLAN None PO BOX 16102 LUBBOCK TX 794906102 8888998490 MAP

L105 20151016 A P LOCAL 804 HEALTH WELFARE TRUST FUND ATTN HEALTH CLAIMS 3421 REVIEW AVE LONG ISLAND CITY NY 111013241 7187865410 PPO

L109 20211227 A P NECA/IBEW FAMILY CARE PLAN ATTN HEALTH CLAIMS 1649 W ADAMS ST FL 3 CHICAGO IL 606123280 3128290850 PPO

L116 20210415 A L LINCOLN FINANCIAL GROUP None PO BOX 3464 OMAHA NE 681030464 8004232765 PPO

L117 20240110 A L LINCOLN DENTAL HMO None PO BOX 30567 SALT LAKE CITY UT 841300567 8004232765 HMO

L147 20211020 A P LOOMIS COMPANY ATTN HEALTH CLAIMS PO BOX 7011 WYOMISSING PA 196106011 6103744040 PPO

L155 20151021 A P PRUDENT BUYER PLAN LOC 1014 None PO BOX 60007 LOS ANGELES CA 900600007 8006601014 PPO

L157 20190417 A P LABORERS HWTF OF NORTHERN CA ATTN BLUE CROSS HEALTH CLAIMS PO BOX 60007 LOS ANGELES CA 900600007 8002444530 PPO

L158 20241223 A F LOMA LINDA UNI HLTH PACE None 1790 W PARK AVE STE 100 REDLANDS CA 923733116 9096514177 MAP

L160 20210607 A P LOCAL 1199 BENEFIT FUND ATTN HEALTH CLAIMS PO BOX 1007 NEW YORK NY 101081007 6464739200 PPO

L192 20230728 A F LASSO HEALTHCARE None 225 W WASHINGTON ST STE 450 CHICAGO IL 606063520 8339252776 MAP

L200 20191114 A P LUCENT HEALTH None 424 CHURCH ST STE 2300 NASHVILLE TN 372192307 8558870855 PPO

L208 20211020 A P INTEGRITY ADMINISTRATORS INC ATTN HEALTH CLAIMS PO BOX 13128 SACRAMENTO CA 958133128 9169213388 PPO

L220 20160913 A L LIBERTY DENTAL PLAN OF CALIF None PO BOX 26110 SANTA ANA CA 927996110 9492230007 PPO

L223 20151019 A F L.A. CARE HEALTH PLAN None PO BOX 811580 LOS ANGELES CA 900810010 8884522273 MAP

L224 20211020 A P LIFEWISE HEALTH PLAN None PO BOX 21552 EAGAN MN 551210552 8005926804 PPO

L262 20240117 A F LA CARE MEDICARE PLUS None 1055 W 7TH ST LOS ANGELES CA 900172577 8335223767 MAP

L560 20211118 A P LIBERTY UNION LIFE ASSURANCE None 560 KIRTS BLVD STE 125 TROY MI 480844133 8004820945 PPO

L712 20210430 A P LA CARE HEALTH PLAN HMO None PO BOX 712129 LOS ANGELES CA 900717129 8552702327 HMO

M002 20230831 A F MMM HEALTHCARE INC. CLAIM DEPARTMENT PO BOX 72010 SAN JUAN PR 9367710 8443363331 MAP

M008 20220610 A F MEDIGOLD CLASSIC PREFERRED None 6150 E BROAD ST STE EE320 COLUMBUS OH 432131574 8002403851 MAP

M013 20170510 A P MOLINA HEALTHCARE OF CA INC None PO BOX 22702 LONG BEACH CA 908015702 8886654621 HMO

M014 20220225 A F MEDICARE PLUS BLUE None PO BOX 33842 DETROIT MI 482325842 8772412583 MAP

M016 20220914 A F MCS CLASSICARE PLATINO SOLIDO None PO BOX 191720 SAN JUAN PR 9191720 7876202530 MAP

M022 20211227 A P HAWAII MAINLAND ADMINISTRATORS None 345 N RIVERVIEW ST STE E600 WICHITA KS 672034200 3166166160 PPO

M025 20220914 A F MEDICA ACCESSABILITY SOLUTION None PO BOX 30990 SALT LAKE CITY UT 841300990 8883473630 MAP

M026 20220914 A F MEDICA DUAL SOLUTION None PO BOX 30990 MINNEAPOLIS MN 55440 8883473630 MAP

M028 20220914 A F MEDICA HEALTHCARE PLANS MEDIC None PO BOX 30770 SALT LAKE CITY UT 841300770 8005070544 MAP

M029 20220914 A F MMM RELAX PLATINO None PO BOX 71114 SAN JUAN PR 9368014 7876202396 MAP

M030 20211020 A P MEDICAL BENEFIT MUTUAL ATTN HEALTH CLAIMS PO BOX 1129 NEWARK OH 430581129 8006868425 PPO

M032 20220914 A F MOLINA MEDICARE COMPLETE CARE None 7050 S UNION PARK CTR STE 200 MIDVALE UT 840474171 8442394914 MAP

M033 20220914 A F MOLINA MEDICARE COMPLETE CARE None 5055 E WASHINGTON ST STE 210 PHOENIX AZ 850342036 8006651029 MAP

M034 20220914 A F MOLINA MEDICARE COMPLETE CARE None 200 OCEANGATE STE 100 LONG BEACH CA 908024317 8007725327 MAP

M035 20220914 A F MOLINA MEDICARE COMPLETE CARE None 5055 E WASHINGTON ST STE 210 PHOENIX AZ 850342036 8004245891 MAP

M036 20160301 A P MIDWEST NATIONAL LIFE INS CO ATTN HEALTH CLAIMS PO BOX 981606 EL PASO TX 799981606 8887570703 PPO

M038 20221208 A F MEDICA ADVANTAGE SOLUTION None PO BOX 30990 SALT LAKE CITY UT 841300990 8004585512 MAP

M039 20221208 A F MEDICARE PPO BLUE PLUSRX None PO BOX 371314 PITTSBURGH PA 152507314 8002004255 MAP

M040 20200318 A P MEDICAL MUTUAL OF OHIO ATTN OUT OF STATE CLAIMS PO BOX 6018 CLEVELAND OH 441011018 8003621279 PPO

M043 20210907 A P PREMERA BLUE CROSS ATTN HEALTH CLAIMS PO BOX 91059 SEATTLE WA 981119159 4259184000 PPO

M044 20221208 A F MEDIGOLD ESSENTIAL CARE None 1299 N ORCHARD ST BOISE ID 837062265 8002403851 MAP

M045 20221208 A F MEDMUTUAL ADVANTAGE CLASSIC None 2060 E 9TH ST CLEVELAND OH 441151313 8009823117 MAP

M046 20221208 A F MERIDIAN COMPLETE None 777 WOODWARD AVE STE 700 DETROIT MI 482263589 8553234578 MAP

M049 20230712 A F MERIDIANCOMPLETE None PO BOX 3060 FARMINGTON MO 636403822 8555801689 MAP

M050 20210806 A P MODA HEALTH None PO BOX 40384 PORTLAND OR 972400384 5032433962 PPO

M052 20221208 A F MOLINA DUAL OPTIONS None 200 OCEANGATE STE 100 LONG BEACH CA 908024317 8557355831 MAP

M053 20221208 A F MOLINA DUAL OPTIONS None PO BOX 22811 LONG BEACH CA 908015811 8774862048 MAP

M054 20221208 A F MOLINA MEDICARE CHOICE CARE S None 400 TIJERAS AVE NW STE 200 ALBUQUERQUE NM 871023252 8664400127 MAP

M055 20221208 A F MOLINA MEDICARE COMPLETE CARE None 100 W BIG BEAVER RD STE 600 TROY MI 480845209 8004244495 MAP

M057 20221208 A F MOLINA MEDICARE COMPLETE CARE None PO BOX 93152 LONG BEACH CA 908093152 8004245891 MAP

M059 20221208 A F MVP MEDICARE WELLSELECT WITH None 625 STATE ST SCHENECTADY NY 123052111 8008255687 MAP

M061 20221216 A F MCLAREN MEDICARE INSPIRE DUAL None PO BOX 1511 FLINT MI 485011511 3178227402 MAP

M063 20221216 A F MEDICA PRIME SOLUTION STANDAR None PO BOX 9310 MINNEAPOLIS MN 554409310 9529922300 MAP

M064 20211020 A P MONTEREY CULINARY INS/PENSION FUND ATTN HEALTH CLAIMS 711 N COMMONS DR AURORA IL 605044197 8554834373 PPO

M065 20221216 A F MOLINA DUAL OPTIONS None 200 OCEANGATE STE 100 LONG BEACH CA 908024317 8556654627 MAP

M066 20230526 A F MOLINA DUAL OPTIONS None 200 OCEANGATE STE 100 LONG BEACH CA 908024317 8779018181 MAP

M068 20221216 A F MOLINA DUAL OPTIONS MYCARE OH None PO BOX 349020 COLUMBUS OH 432349020 8556654623 MAP

M071 20221216 A F MOLINA MEDICARE CHOICE CARE None PO BOX 22612 LONG BEACH CA 908015612 8664400012 MAP

M072 20221223 A F MARTINS POINT GENERATIONS ADV None PO BOX 11410 PORTLAND ME 41047410 8665447504 MAP

M073 20221223 A F METROPLUS PLATINUM PLAN None PO BOX 830480 BIRMINGHAM AL 352830480 8669860356 MAP

M074 20221223 A F MODA HEALTH PPO None PO BOX 40384 PORTLAND OR 972400384 5032654762 MAP

M075 20211020 A P MEDIEXEL HEALTH PLAN None 750 MEDICAL CENTER CT STE 2 CHULA VISTA CA 919116634 6194211659 HMO

M077 20230712 A F MOLINA DUAL OPTIONS None 200 OCEANGATE STE 100 LONG BEACH CA 908024317 8557355604 MAP

M078 20221223 A F MOLINA MEDICARE COMPLETE CARE None PO BOX 22664 LONG BEACH CA 908015664 8445263195 MAP

M080 20241223 A F MYPLACE HEALTH None PO BOX 21631 EAGAN MN 551210631 2138008884 MAP

M101 20230322 A F MOLINA MEDICARE COMPLETE CARE None PO BOX 93152 LONG BEACH CA 908093152 8004245891 MAP

M105 20211020 A P MANAGED CARE ADMINISTRATORS ATTN HEALTH CLAIMS 802 E WINCHESTER ST STE 250 SALT LAKE CITY UT 841077624 8003505922 PPO

M106 20210614 A Q MEDIMPACT ATTN PRESCRIPTION CLAIMS 10181 SCRIPPS GATEWAY CT SAN DIEGO CA 921315152 8007882949 HMO

M107 20180726 A W MANHATTAN LIFE ASSURANCE COMPANY OF AMERICA PO BOX 925309 HOUSTON TX 772925309 8006699030 PPO

M108 20200925 A P MEDIEXCEL None 750 MEDICAL CENTER CT STE 2 CHULA VISTA CA 919116634 8556334392 HMO

M109 20211118 A P MED-PAY None PO BOX 10909 SPRINGFIELD MO 658080909 8007779087 PPO

M110 20230505 A F MEDICARE BLUE CHOICE ACCESS None PO BOX 21146 EAGAN MN 551210146 8778839577 MAP

M123 20150218 A D MEDICARE FIRST BC/BS ATTN: CLIENT SERVICES (ARGUS) 1500 CAPITOL AVE SACRAMENTO CA 958145006 8005227847 PDP

M131 20211020 A P MVP HEALTH PLAN None PO BOX 2207 SCHENECTADY NY 123012207 5183704793 HMO

M140 20211025 A P MBA BENEFITS ADMIN ATTN HEALTH CLAIMS PO BOX 57340 MURRAY UT 841570340 8012683334 PPO

M142 20240207 A F MOLINA HEALTHCARE OF CA None 200 OCEANGATE STE 100 LONG BEACH CA 908024317 8006650898 MAP

M143 20211020 A P AUXIANT ATTN HEALTH CLAIMS PO BOX 259710 MADISON WI 537259710 8002796772 PPO

M172 20210514 A E METLIFE VISION ATTN VISION CLAIMS PO BOX 997565 SACRAMENTO CA 958997565 8006380166 PPO

M180 20211020 A P M M & P HEALTH & BENEFIT PLAN ATTN HEALTH CLAIMS 700 MARITIME BLVD STE A LINTHICUM HEIGHTS MD 210901916 4108508500 PPO

M198 20211020 A P MEDCOST PERFERRED ATTN HEALTH CLAIMS PO BOX 25987 WINSTON SALEM NC 271145987 8008221274 PPO

M278 20220128 A E MES VISION ATTN VISION CLAIMS PO BOX 25209 SANTA ANA CA 927995209 8008776372 PPO

M281 20190417 A L METLIFE DENTAL ATTN DENTAL CLAIMS PO BOX 981282 EL PASO TX 799981282 8004386388 PPO

M355 20180726 A L MUTUAL OF OMAHA DENTAL None PO BOX 17100 INDIANAPOLIS IN 462170100 8779992330 PPO

M404 20230728 A F MERCY LIFE OF ALABAMA PACE None 20555 VICTOR PKWY LIVONIA MI 481527031 8553676562 MAP

M407 20190722 A P MEDICAL MUTUAL ATTN HEALTH CLAIMS PO BOX 6018 CLEVELAND OH 441011018 8003621279 PPO

M425 20220712 A P MAIL HANDLERS BENEFIT PLAN ATTN HEALTH CLAIMS PO BOX 981106 EL PASO TX 799981106 8004107778 PPO

M428 20200326 A P MUTUAL MEDICAL PLANS INC ATTN HEALTH CLAIMS PO BOX 60158 CLEVELAND OH 44101 8004470878 PPO

M454 20211020 A P PEQUOT PLUS HLTH BENFT SRVCS ATTN HEALTH CLAIMS PO BOX 3559 MASHANTUCKET CT 63383559 8887796872 PPO

M456 20210415 A L MINNESOTA DENTAL FOUNDATION ATTN DENTAL CLAIMS 1335 INDUSTRIAL BLVD NE STE 100 MINNEAPOLIS MN 554131791 8008364098 PPO

M462 20210806 A P MID AMERICAN BENEFITS ATTN HEALTH CLAIMS 5310 N 99TH ST STE 1 OMAHA NE 681341521 8003649505 PPO

M464 20210614 A Q ELIXIER None 2181 E AURORA RD STE 201 TWINSBURG OH 440871974 8007714648 PPO

M468 20230829 A F MERCY CARE ADVANTAGE ATTN: CLAIMS PO BOX 982975 EL PASO TX 799989275 8006243879 MAP

M475 20211020 A P MEDICA None PO BOX 30990 SALT LAKE CITY UT 841300990 8002281403 PPO

M496 20230728 A F AMERICAN HEALTH ADV MISSOURI None 201 JORDAN RD STE 200 FRANKLIN TN 370674495 8442287934 MAP

M512 20151023 A F NEW WEST HEALTH SERVICES ATTN HEALTH CLAIMS PO BOX 668 KALISPELL MT 599030668 8002903657 MAP

M520 20200318 A P MYERS STEVENS/CO INC ATTN HEALTH CLAIMS 26101 MARGUERITE PKWY MISSION VIEJO CA 926923203 8008274695 PPO

M560 20190301 A P UNITED HEALTH CARE STUDENT RESOURCES PO BOX 809025 DALLAS TX 753809025 8007670700 PPO

M601 20230321 A F MOLINA HEALTHCARE None PO BOX 22702 LONG BEACH CA 908015702 5624353666 MAP

M700 20211118 A P MUTUAL HEALTH SERVICES None PO BOX 5700 CLEVELAND OH 441010700 8003673762 PPO

M948 20230728 A F MASS GENERAL BRIGHAM ADV None 399 REVOLUTION DR STE 850 SOMERVILLE MA 21451636 8558333668 MAP

M990 20151023 A A MEDICARE RETRO BILLING None PO BOX 997422 SACRAMENTO CA 958997422 8662279863 TPP

M991 20151023 A A MEDICARE RETRO BILLING None PO BOX 997422 SACRAMENTO CA 958997422 8662279863 TPP

M995 20151112 A P MAGELLAN HLTH -BEHAVIORAL ONLY None PO BOX 710400 SAN DIEGO CA 921710400 8004241565 PPO

M996 20170914 A Q MAGELLAN RX None 11013 W BROAD ST STE 500 GLEN ALLEN VA 230606017 8004243312 PPO

N007 20190723 A P NATIONAL ASSOC OF LETTER CARR ATTN HEALTH CLAIMS 20547 WAVERLY CT ASHBURN VA 201490001 8886366252 PPO

N008 20220914 A F NETWORKCARES None PO BOX 120 MENASHA WI 549520120 9207201345 MAP

N009 20221216 A F NEIGHBORHOOD INTEGRITY None 910 DOUGLAS PIKE SMITHFIELD RI 29171874 4014278181 MAP

N013 20200318 A P NIPPON LIFE INSUR OF AMERICA None PO BOX 25951 SHAWNEE MISSION KS 662255951 8009376542 PPO

N014 20150811 A D NAVITUS MEDICARE RX None PO BOX 999 APPLETON WI 549120999 8772703877 PDP

N017 20221216 A F NEIGHBORHOOD HEALTHCARE PACE None 4371 LATHAM ST RIVERSIDE CA 925011706 8446427223 MAP

N053 20210806 A P NTL ELEVATOR INDUSTRIAL BNFT ATTN HEALTH CLAIMS 19 CAMPUS BLVD STE 200 NEWTOWN SQUARE PA 190733239 8005234702 PPO

N124 20161228 A P NORTHERN CA BAKERY DRIVERS TRUST FUND ATTN HEALTH CLAIMS PO BOX 421670 SAN FRANCISCO CA 941421670 5104334400 PPO

N138 20210806 A P VALLENZ ACCESS None PO BOX 123819 DALLAS TX 753123819 8008342312 PPO

N154 20190723 A P NORTHWEST ADMINISTRATORS ATTN HEALTH CLAIMS 2323 EASTLAKE AVE E SEATTLE WA 981023963 6505707300 PPO

N162 20230808 A F PACE NORTH EAST MEDICAL SERVIC None 2171 JUNIPERO SERRA BLVD STE 600 DALY CITY CA 940141990 5013721922 MAP

N208 20151118 A L NORTHEAST DELTA DENTAL None PO BOX 2002 CONCORD NH 33022002 8008325700 PPO

N262 20211020 A P HEALTH SERVICES BENEFIT ADMIN ATTN MEDICAID/MEDI-CAL CLAIMS 4160 DUBLIN BLVD STE 400 DUBLIN CA 945687756 8556907250 PPO

N273 20211020 A P NEVADA OPERATING ENGINEERS HWF ATTN HEALTH CLAIMS PO BOX 11337 RENO NV 895101337 7758267200 PPO

N320 20200326 A P NORTH AMERICAN ADMIN ATTN HEALTH CLAIMS PO BOX 5088 SIOUX FALLS SD 571175088 8008286922 PPO

N369 20151118 A D CATAMARAN None PO BOX 968022 SCHAUMBURG IL 601968022 3026365401 PDP

N620 20230728 A F NEXTBLUE OF NORTH DAKOTA None PO BOX 260038 PLANO TX 750260038 8447538038 MAP

O001 20220330 A F OPTIMUM GOLD REWARDS PLAN None PO BOX 151258 TAMPA FL 336841258 8662455360 MAP

O002 20220914 A F OPTIMA COMMUNITY COMPLETE None PO BOX 5028 TROY MI 480075028 8009276048 MAP

O003 20211020 A P OPERATING ENG HWF LOC 302 ATTN HEALTH CLAIMS PO BOX 34684 SEATTLE WA 981241684 8003316158 PPO

O004 20221216 A F ONECARE CONNECT None 505 CITY PKWY W ORANGE CA 928682924 8007058823 MAP

O006 20211020 A P OPTIMED None 4 TERRY DR STE 1 NEWTOWN PA 189401838 8004828770 PPO

O016 20210614 A P OPERATING ENG TRUST FUND ANTHEM BLUE CROSS 100 CORSON ST STE 100 PASADENA CA 911033875 6263561000 PPO

O029 20211020 A P OXFORD HEALTH PLANS ATTN HEALTH CLAIMS PO BOX 29130 HOT SPRINGS NATIONAL AR 719039130 8004446222 PPO

O059 20211020 A P OPTIMA HEALTH None PO BOX 5028 TROY MI 480075028 7575528850 PPO

O060 20240207 A F ORANGE CNTY HEALTH AUTHORITY None 505 CITY PKWY W ORANGE CA 928682924 8774122734 MAP

O101 20130820 A F ON LOK SENIOR HEALTH None 1333 BUSH ST SAN FRANCISCO CA 941095611 4152928888 MAP

O122 20210614 A Q OPTUM RX None PO BOX 509075 SAN DIEGO CA 921509075 8776334701 PPO

O231 20200319 A P OSCAR PLATINUM EPO None PO BOX 52146 PHOENIX AZ 850722146 8556722755 HMO

O976 20230728 A F OCHSNER HEALTH PLAN None 1450 POYDRAS ST STE 110 NEW ORLEANS LA 701120100 8336742112 MAP

P003 20220121 A F PACIFICSOURCE MEDICARE None PO BOX 7469 BEND OR 977087469 8006334227 MAP

P004 20220510 A F PRIORITYMEDICAL IDEAL None PO BOX 232 GRAND RAPIDS MI 495010232 6164648820 MAP

P005 20220510 A F PRIORITYMEDICARE VALUE None PO BOX 232 GRAND RAPIDS MI 495010232 6164648820 MAP

P006 20220610 A F PACFICSOURCE MEDICARE EXPLORER None PO BOX 7068 SPRINGFIELD OR 974750068 5413855315 MAP

P007 20220914 A F PROVIDENCE MEDICARE DUAL PLUS None PO BOX 3125 PORTLAND OR 972083125 5035748000 MAP

P008 20221208 A F PREMERA BLUE CROSS MEDICARE A None PO BOX 91059 SEATTLE WA 981119159 8888508526 MAP

P009 20161228 A Q PRIME THERAPEUTICS ATTN PRESCRIPTION CLAIMS PO BOX 64812 SAINT PAUL MN 551640812 8008214795 PPO

P010 20221208 A F PRESBYTERIAN DUAL PLUS None PO BOX 27489 ALBUQUERQUE NM 871257489 5059237675 MAP

P011 20230526 A F PRESBYTERIAN MEDICARE PPO PLA None PO BOX 27489 ALBUQUERQUE NM 871257489 5059236060 MAP

P012 20221208 A F PROMINENCE PLUS None TEXOMA 305 W.WOODARD ST RANDALL TX 75020 8559695882 MAP

P013 20221216 A F PEOPLES HEALTH CHOICES None PO BOX 7890 METAIRIE LA 700107890 8002228600 MAP

P014 20221223 A F PERSONAL CHOICE 65 RX None PO BOX 7799 PHILADELPHIA PA 191017799 8887183333 MAP

P016 20221223 A F PHP CARE COMPLETE FIDA-IDD PL None 655 3RD AVE FL 2 NEW YORK NY 100179130 8557475483 MAP

P017 20230104 A F PROVIDER PARTNERS MISSOURI None 785 ELKRIDGE LANDING RD STE 300 LINTHICUM HEIGHTS MD 210902958 8004059681 MAP

P019 20200319 A P PRESBYTERIAN HEALTH PLAN None PO BOX 27489 ALBUQUERQUE NM 871257489 5059235757 HMO

P020 20230505 A F PASSPORT MEDICARE CHOICE CARE None 5100 COMMERCE CROSSINGS DR LOUISVILLE KY 402292128 8448596152 MAP

P028 20161228 A W PRINCIPAL FINANCIAL GROUP None PO BOX 10357 DES MOINES IA 503060357 8002451522 PPO

P029 20220121 A F PROMINENCE PLUS None PO BOX 981747 EL PASO TX 799981747 8559695882 MAP

P036 20161228 A L PHYSICIANS MUTUAL INS CO ATTN CLAIMS MANAGER PO BOX 2018 OMAHA NE 681032018 8002289100 PPO

P042 20211227 A P PRUDENTIAL HEALTHCARE ATTN SBC CLAIMS DEPT PO BOX 696038 SAN ANTONIO TX 782696038 8888884601 PPO

P067 20211227 A P CENCAL HEALTH None PO BOX 948 GOLETA CA 931160948 8.00421E+13 HMO

P084 20161228 A P PIPE TRADES DISTRICT COUNCIL ATTN HEALTH CLAIMS PO BOX 7892 SAN FRANCISCO CA 941207892 4155467800 PPO

P101 20211020 A P PREFERREDONE HEALTH PLAN None PO BOX 1527 MINNEAPOLIS MN 554401527 8009971750 PPO

P103 20161228 A P PENNSYLVANIA EMP BENEFIT TRUST FUND ATTN HEALTH CLAIMS 150 S 43RD ST STE 1 HARRISBURG PA 171115708 8006280174 PPO

P124 20210614 A P LOCAL 447 UA PIPE TRADES TRUST FUND ATTN HEALTH CLAIMS 5841 NEWMAN CT SACRAMENTO CA 958192607 9164570821 PPO

P132 20240110 A E PINNACLE CLAIMS MANAGEMENT VIS None PO BOX 2220 NEWPORT BEACH CA 926588952 8006499121 PPO

P173 20230130 A Q PROVIDENCE RX None PO BOX 3125 PORTLAND OR 972083125 8772163644 HMO

P175 20211020 A P PROVIDENCE HEALTH PLAN None PO BOX 3125 PORTLAND OR 972083125 8008784445 HMO

P187 20211227 A P PHYSICIANS HEALTH PLAN None PO BOX 853936 RICHARDSON TX 750853936 8037507400 HMO

P193 20150325 A L PRIME CARE DENTAL PLAN INC ATTN DENTAL CLAIMS 16444 VANOWEN ST VAN NUYS CA 914064729 8007766866 PPO

P197 20200326 A P P5 ELECTRONIC HEALTH SERVICES ATTN HEALTH CLAIMS PO BOX 9554 SALT LAKE CITY UT 841090554 8003973685 PPO

P239 20220126 A L PROFESSIONAL BENEFIT SERV ATTN DENTAL CLAIMS PO BOX 2569 MERCED CA 953440569 2097239136 PPO

P251 20220125 A P HARVARD/PILGRIM HEALTHCARE ATTN HEALTH CLAIMS PO BOX 699183 QUINCY MA 22699183 8888884742 PPO

P252 20210614 A P UA LOCAL 393 ATTN HEALTH CLAIMS 493 BEV RD BLDG 3 BOARDMAN OH 445126455 8004352388 PPO

P267 20220125 A P PROFESSIONAL CLAIMS MANAGEMENT ATTN HEALTH CLAIMS 16W455 S FRONTAGE RD STE 216 BURR RIDGE IL 605277105 3304937278 PPO

P283 20220125 A P PRIORITY HEALTH ATTN HEALTH CLAIMS PO BOX 232 GRAND RAPIDS MI 495010232 8009561954 PPO

P289 20220125 A P PIEDMONT COMMUNITY HEALTH PLAN ATTN HEALTH CLAIMS 2316 ATHERHOLT RD LYNCHBURG VA 245012100 8008527040 PPO

P291 20210806 A P MULTIPLAN ATTN HEALTH CLAIMS PO BOX 21372 EAGAN MN 551210372 8472926700 PPO

P295 20160120 A P PLUMBERS/PIPE FITTERS HEALTH/SECURITY TRUST FUND 141 S CENTER ST STE 200 CASPER WY 826012519 3034264984 PPO

P305 20200319 A P PACIFICSOURCE HEALTH PLANS ATTN HEALTH CLAIMS PO BOX 7068 SPRINGFIELD OR 974750068 8006246052 PPO

P331 20230927 A F PROVIDENCE PACE None 414 S JEFFERSON ST NAPA CA 945594515 7072544159 MAP

P332 20180803 A L PROTECTIVE DENTAL CARE None 1702 E HIGHLAND AVE STE 110 PHOENIX AZ 850164695 6022777432 PPO

P347 20130726 A F PYRAMID LIFE INSURANCE COMPANY UNIVERSAL AMERICAN CORP. PO BOX 742568 HOUSTON TX 772742568 8665688921 MAP

P405 20230728 A F PRIMA HEALTH SENIORCARE PACE None 255 ENTERPRISE BLVD STE 120 GREENVILLE SC 296153530 8644554566 MAP

P440 20160120 A F UHC OF CALIFORNIA INC. None PO BOX 30968 SALT LAKE CITY UT 841300968 8888668297 MAP

P443 20230324 A F UHC OF CALIFORNIA INC. None PO BOX 30968 SALT LAKE CITY UT 841300968 8448084553 MAP

P448 20130726 A F UHC OF CALIFORNIA INC. None PO BOX 489 CYPRESS CA 906300489 8002282144 MAP

P465 20220125 A P PARTNERS HEALTH None PO BOX 16309 LUBBOCK TX 794906309 8006968151 HMO

P476 20160121 A F UNITED HEALTHCARE INS CO None PO BOX 31362 SALT LAKE CITY UT 841310362 8665798774 MAP

P481 20220125 A P PIPETRADE HEALTH/WELFARE ATTN HEALTH CLAIMS PO BOX 3040 TERRE HAUTE IN 478030040 8128772581 PPO

P505 20160119 A F HUMANA CLAIMS OFFICE PO BOX 14601 LEXINGTON KY 405124601 8778091810 MAP

P517 20220712 A P PLANNED ADMINISTRATORS INC. ATTN HEALTH CLAIMS PO BOX 6927 COLUMBIA SC 292606927 8007684375 PPO

P535 20200326 A P LIFEWISE ATTN HEALTH CLAIMS PO BOX 21552 EAGAN MN 551210552 8007771502 PPO

P616 20230602 A F PREMIER BY ULTIMATE None PO BOX 3340 SPRING HILL FL 346113340 8886574170 MAP

P700 20160121 A P PROFESSIONAL BENEFIT ADMIN ATTN HEALTH CLAIMS PO BOX 4687 OAK BROOK IL 605224687 8004355694 PPO

P710 20220125 A P INTERMOUNTAIN HEALTHCARE None PO BOX 95638 LAS VEGAS NV 891935638 8009951669 HMO

P716 20130726 A F PARTNERSHIP HEALTHPLAN OF CALIFORNIA PO BOX 1368 SUISUN CITY CA 945854368 7078634100 MAP

P726 20160401 A L BOON CHAPMAN ATTN DENTAL CLAIMS PO BOX 9201 AUSTIN TX 787669201 8003423279 PPO

P801 20130726 A F ALTAMED PACE (SENIOR) EAST LA None 5425 POMONA BLVD LOS ANGELES CA 900221716 3237280411 MAP

P802 20130726 A F CENTER FOR ELDERS INDEPENDENCE PACE 510 17TH ST STE 400 OAKLAND CA 946121570 5104331150 MAP

P803 20230829 A F PACE SUTTER SENIORCARE (SIGHT 1) PO BOX 211188 EAGAN MN 551212588 8669618521 MAP

P899 20240118 A L PINNACLE CLAIMS DENTAL None PO BOX 2220 NEWPORT BEACH CA 926588952 8006499121 PPO

Q001 20150220 A D QCC INSURANCE COMPANY DBA AMERIHEALTH INSURANCE CO 1500 CAPITOL AVE SACRAMENTO CA 958145006 2152410390 PDP

Q065 20161228 A P QUAD MED CLAIMS ATTN HEALTH CLAIMS W224N3322 DUPLAINVILLE RD PEWAUKEE WI 530724137 8009372230 PPO

Q066 20100902 A D QUALITY RX None 1500 CAPITOL AVE SACRAMENTO CA 958145006 8667472700 PDP

R001 20220301 A F RENOWN PREFERRED PLAN None PO BOX 981703 EL PASO TX 799981703 7759823112 MAP

R002 20220602 A F REGENCE MEDADVANTAGE RX None PO BOX 3686 SCRANTON PA 185050686 8005418981 MAP

R003 20160121 A P ROCKY MOUNTAIN HMO None PO BOX 10600 GRAND JUNCTION CO 815025600 8008430719 HMO

R004 20221208 A F REID HEALTH ALLIANCE None 301 S VINE ST URBANA IL 618017402 8777493253 MAP

R005 20221208 A F ROCKY MOUNTAIN HEALTH PLANS D None PO BOX 30769 SALT LAKE CITY UT 841300769 8334202075 MAP

R006 20221223 A F REGENCE BLUEADVANTAGE None 100 SW MARKET ST PORTLAND OR 972015723 8555228896 MAP

R007 20221223 A F REGENCE BLUEADVANTAGE HMO PLU None PO BOX 1106 LEWISTON ID 835011106 8555228896 MAP

R008 20221223 A F REGENCE MEDADVANTAGE RX PRIMA None PO BOX 1106 LEWISTON ID 835011106 8005418981 MAP

R009 20230712 A F REGENCE VALIANCE None PO BOX 1106 LEWISTON ID 835011106 8005418981 MAP

R035 20221216 A F REDWOOD COAST PACE None 1910 CALIFORNIA ST EUREKA CA 955012870 7074439747 MAP

R036 20220125 A P HEALTHCARE MANAGEMENT ADMIN ATTN HEALTH CLAIMS PO BOX 85008 BELLEVUE WA 980158508 8884867927 HMO

R037 20220121 A F REGENCE MEDADVANTAGE RX None PO BOX 1827 MEDFORD OR 975010143 8005418981 MAP

R071 20220125 A P ASCENSION PERSONALIZED CARE None PO BOX 1707 TROY MI 480991707 8005371777 PPO

R133 20190417 A P ROBERT F KENNEDY MEDICAL PLAN ATTN HEALTH CLAIMS PO BOX 47 KEENE CA 935310047 6618236900 PPO

R139 20160217 A P REDLANDS COMMUNITY HOSPITAL ATTN MANAGED CARE PO BOX 3391 REDLANDS CA 923730742 9093356462 HMO

R180 20210802 A Q CIGNA PHARMACY ATTN PHARMACY CLAIMS PO BOX 188053 CHATTANOOGA TN 374228053 8006225579 TPP

R181 20150811 A D RX BLUE OF LOUISIANA None PO BOX 650599 DALLAS TX 752650599 8882232583 PDP

R192 20160303 A P RISK MGMT SERV GENERAL CONF ATTN HEALTH CLAIMS P O BOX 8007 RIVERSIDE CA 925058007 8889514276 PPO

S001 20160120 A P PROMINENCE HEALTH PLAN None 1510 MEADOW WOOD LN RENO NV 895028503 7757709311 HMO

S002 20220125 A P SAVERS MARKETING ATTN HEALTH CLAIMS 8064 N POINT BLVD STE 201 WINSTON SALEM NC 271063116 8006420483 PPO

S003 20151125 A F SENIOR DIMENSIONS CLAIMS PO BOX 15645 LAS VEGAS NV 891145645 8006506232 MAP

S004 20220914 A F SAMARITAN ADVANTAGE SPECIAL N None PO BOX 1189 CORVALLIS OR 973391189 8008324580 MAP

S005 20140123 A F SIMPLY HEALTHCARE PLANS INC. None PO BOX 21535 EAGAN MN 551210535 8779150551 MAP

S008 20230831 A F SENIOR ADVANTAGE MEDICARE MED None PO BOX 12923 OAKLAND CA 946042923 3033383800 MAP

S011 20161228 A E SPECTERA ATTN VISION CLAIMS PO BOX 30978 SALT LAKE CITY UT 841300978 8006383120 PPO

S012 20150811 A D SECURE ADVANTAGE RX OPTION II None 52160 NATIONAL RD E SAINT CLAIRSVILLE OH 439509306 8778477907 PDP

S013 20230831 A F SELECTHEALTH ADVANTAGE None PO BOX 30196 SALT LAKE CITY UT 841300196 8554429940 MAP

S014 20220914 A F SENIOR WHOLE HEALTH None PO BOX 383 LATHAM NY 121100383 8887947268 MAP

S015 20221208 A F SAINT MARYS ATRIO CHOICE RX None 338 JERICHO TPKE SYOSSET NY 117914507 5416728620 MAP

S016 20221208 A F SCAN CLASSIC None PO BOX 22698 LONG BEACH CA 908015698 8558277226 MAP

S017 20221208 A F SCAN CLASSIC None PO BOX 22698 LONG BEACH CA 908015698 8556507226 MAP

S018 20221208 A F SELECTHEALTH ADVANTAGE None PO BOX 30196 SALT LAKE CITY UT 841300196 8773260289 MAP

S019 20221208 A F SPIRIT None PO BOX 8000 MARSHFIELD WI 544498000 7152219897 MAP

S020 20221208 A F SUPERIOR HEALTHPLAN STAR None PO BOX 3003 FARMINGTON MO 636403803 8668961844 MAP

S021 20221216 A F SAN DIEGO PACE None 1610 PRECISION PARK LN SAN DIEGO CA 921731346 6192054585 MAP

S022 20221216 A F SANTA CLARA FAMILY HEALTH PLA None PO BOX 18880 SAN JOSE CA 951588880 4083762000 MAP

S023 20221216 A F SECUREBLUE None PO BOX 9000 LONDON KY 40742 6516626013 MAP

S024 20230712 A F SCAN BALANCE None PO BOX 22698 LONG BEACH CA 908015698 8777787226 MAP

S025 20230426 A F SIMPLY FREEDOM None 9250 W FLAGLER ST STE 600 MIAMI FL 331743460 8775770115 MAP

S026 20221223 A F SUMMACARE MEDICARE TOPAZ None 1200 E MARKET ST STE 400 AKRON OH 443054066 3309968885 MAP

S027 20221223 A F SUMMIT HEALTH PREMIER RX None PO BOX 820070 PORTLAND OR 972821070 5416632721 MAP

S028 20240709 A E SEIU LOCAL 1199 FND None 498 7TH AVE NEW YORK NY 100186798 1254199150 PPO

S037 20220125 A P SUPERIOR ADMINISTRATORS INC ATTN HEALTH CLAIMS 2950 AIRWAY AVE STE A13 COSTA MESA CA 926266005 7144291700 PPO

S038 20161228 A Q SAV RX ATTN PRESCRIPTION CLAIMS 225 N PARK AVE FREMONT NE 680254963 8002283108 TPP

S049 20190626 A P SANFORD HEALTH PLAN None PO BOX 91110 SIOUX FALLS SD 571091110 8776521844 HMO

S050 20200319 A P SFHP HEALTHY WORKER None PO BOX 194247 SAN FRANCISCO CA 941194247 4155477800 HMO

S054 20220712 A P SIMNSA ATTN HEALTH CLAIMS 2088 OTAY LAKES RD STE 102 CHULA VISTA CA 919131370 6194074082 HMO

S060 20160121 A P SOUTHERN CA LOC 831 None PO BOX 5528 EL MONTE CA 917341528 8775727005 PPO

S067 20220125 A P STATE HEALTH BENEFIT PLAN ATTN HEALTH CLAIMS 2 PEACHTREE ST NW ATLANTA GA 303033141 8006101863 PPO

S070 20190626 A P SIHO None PO BOX 1787 COLUMBUS IN 472021787 8123787070 HMO

S071 20180511 A P SIERRA HEALTH LIFE INS CO ATTN HEALTH CLAIMS PO BOX 15645 LAS VEGAS NV 891145645 8008882264 PPO

S072 20220125 A P SETON HEALTH PLAN None PO BOX 14545 AUSTIN TX 787614545 5123243350 PPO

S075 20190723 A P SIERRA HEALTH LIFE INS ATTN: HEALTH CLAIMS PO BOX 15645 LAS VEGAS NV 891145645 8008882264 HMO

S079 20160121 A P S/S HEALTHCARE STRATEGIES ATTN HEALTH CLAIMS 1385 KEMPER MEADOW DR CINCINNATI OH 452401635 8007172872 PPO

S080 20160120 A P SAINT MARY'S HEALTH FIRST ATTN HEALTH CLAIMS 1510 MEADOW WOOD LN RENO NV 895028503 8004333077 PPO

S117 20210625 A P COLORADO HEALTH NETWORK None 6260 E COLFAX AVE DENVER CO 802201515 3038370166 PPO

S119 20161228 A E SUPERIOR VISION SERVICES ATTN VISION CLAIMS PO BOX 967 RANCHO CORDOVA CA 957410967 8005073800 PPO

S120 20160120 A P SIEBA LTD ATTN HEALTH CLAIMS PO BOX 5000 ENDICOTT NY 137615000 6077863003 PPO

S121 20210922 A P SBMA None PO BOX 2369 MONTCLAIR CA 917630869 8885057724 PPO

S146 20240207 A F SCAN HEALTH PLAN None PO BOX 22616 LONG BEACH CA 908015616 8005593500 MAP

S149 20240521 A F SHARP HEALTH PLAN None 8520 TECH WAY STE 201 SAN DIEGO CA 921231450 8555628853 MAP

S159 20210614 A Q SCRIPT CARE LTD ATTN PRESCRIPTION CLAIMS 6380 FOLSOM DR BEAUMONT TX 777067265 4098323041 TPP

S171 20220712 A P S&S HEALTH None 1385 KEMPER MEADOW DR CINCINNATI OH 452401635 8662661110 PPO

S199 20160509 A P PACIFIC SOURCE ATTN HEALTH CLAIMS PO BOX 7068 SPRINGFIELD OR 974750068 8006246052 PPO

S205 20220125 A P SAN DIEGO ELECTRICAL HWT ATTN HEALTH CLAIMS PO BOX 231219 SAN DIEGO CA 921931219 8585696322 PPO

S225 20200310 A P SIMNSA None 333 H ST STE 6040 CHULA VISTA CA 919105565 8004244652 HMO

S227 20161228 A W SECURITY LIFE INSURANCE CO ATTN DENTAL & VISION CLAIMS PO BOX 10188 LANCASTER PA 176050188 8003009566 PPO

S229 20200319 A P SUMMIT ADMINISTRATON ATTN HEALTH CLAIMS PO BOX 25160 SCOTTSDALE AZ 852550102 8886902020 PPO

S286 20160120 A P SUMMACARE HEALTH PLAN ATTN HEALTH CLAIMS PO BOX 3620 AKRON OH 443093620 8009968701 PPO

S292 20160401 A L SMILECARE DENTAL ATTN: HEALTH CLAIMS 8997 MIRA MESA BLVD SAN DIEGO CA 921262738 8585365550 PPO

S294 20220125 A P SAN FRANCISCO ELECTRIAL WKRS None 160 W SANTA CLARA ST STE 1550 SAN JOSE CA 951131734 4152633670 TPM

S297 20161228 A E SIGHTCARE INC. None 220 N MCKEMY AVE CHANDLER AZ 852262654 4809611702 PPO

S299 20230808 A F SENIOR LIFE WASHINGTON None 401 BROAD ST JOHNSTOWN PA 159062745 8779985433 MAP

S318 20130726 A F UNITED HEALTHCARE WEST None PO BOX 30975 SALT LAKE CITY UT 841300975 8009509355 MAP

S322 20131030 A F SATELLITE HEALTH PLAN None 3565 PIEDMONT RD NE 4 PIEDMONT CENTER STE 500 ATLANTA GA 30305 6504043776 MAP

S323 20230324 A F SCAN HEALTH PLAN ATTN: CLAIMS PO BOX 22616 LONG BEACH CA 908015616 8003078003 MAP

S342 20200325 A F SCAN HEALTH PLAN ATTN: CLAIMS PO BOX 22698 LONG BEACH CA 908015698 8003078004 MAP

S343 20220125 A P TRISTAR BENEFIT ADMIN ATTN HEALTH CLAIMS PO BOX 65887 WEST DES MOINES IA 502650887 8003970427 PPO

S345 20170217 A F SCAN HEALTH PLAN ATTN: CLAIMS PO BOX 22698 LONG BEACH CA 908015698 8003078003 MAP

S347 20130726 A F SANTA FE EMP HOSP ASSOC COASTL ATTN: CLAIMS 551 E SAN BERNARDINO RD COVINA CA 917231732 6269673550 MAP

S355 20220125 A P SOUTHERN BENEFITS ADMIN ATTN HEALTH CLAIMS PO BOX 1449 GOODLETTSVILLE TN 370701449 6158590131 PPO

S361 20220712 A P SUTTER HEALTH PLUS SUTTER INDEPENDANT PHYSICIANS PO BOX 211314 EAGAN MN 551212914 8666810736 HMO

S363 20161228 A P SUTTER HEALTH PLUS-SUTTER MEDICAL FOUNDATION PO BOX 255187 SACRAMENTO CA 958655187 8666810736 HMO

S367 20190722 A P SISCO ATTN HEALTH CLAIMS PO BOX 389 DUBUQUE IA 520040389 8004574726 PPO

S385 20200325 A F SIERRA HEALTH AND LIFE INS None PO BOX 15645 LAS VEGAS NV 891145645 8006434845 MAP

S390 20160204 A P SAN DIEGO CO TEAMSTERS INS ATTN HEALTH CLAIMS 2831 CAMINO DEL RIO S STE 207 SAN DIEGO CA 921083828 6196929755 PPO

S404 20230208 A F SANTA CLARA FAMILY HEALTH PLAN None PO BOX 18880 SAN JOSE CA 951588880 4083762000 MAP

S412 20190723 A P SIERRA PACIFIC IND ATTN HEALTH CLAIMS PO BOX 496011 REDDING CA 960496011 5303788286 PPO

S415 20220712 A P SCOTT & WHITE HEALTH PLAN None PO BOX 21800 EAGAN MN 551210800 8552528782 HMO

S436 20160217 A P SCHMIDBAUER LUMBER INC ATTN HEALTH CLAIMS PO BOX 1405 EUREKA CA 955021405 7074437100 PPO

S448 20250109 A D WELLCARE PDP RX ONLY None PO BOX 31370 TAMPA FL 336313370 8006880010 PDP

S467 20160921 A F SECURE HORIZONS SUPPLEMENT None PO BOX 31350 SALT LAKE CITY UT 841310350 8778423210 HMO

S498 20220712 A P CIGNA VISION ATTN HEALTH CLAIMS PO BOX 997561 SACRAMENTO CA 958997561 8.00245E+13 PPO

S501 20160509 A L STANDARD INSURANCE COMPANY ATTN DENTAL CLAIMS PO BOX 82622 LINCOLN NE 685012622 8005479515 PPO

S515 20190320 A P SHARPE HEALTH PLAN HMO None PO BOX 939036 SAN DIEGO CA 921939036 8584998200 HMO

S521 20100902 A D SCOTT AND WHITE HEALTH PLAN None 1500 CAPITOL AVE SACRAMENTO CA 958145006 8003217947 PDP

S523 20230829 A F STANFORD HEALTH CARE ADVANTAGE None PO BOX 740715 LOS ANGELES CA 900740715 8005493720 MAP

S550 20210514 A E UNUM GROUP None PO BOX 98100 BATON ROUGE LA 708989100 8887295433 PPO

S551 20240207 A F SCAN HEALTH PLAN None PO BOX 22616 LONG BEACH CA 908015616 8667226725 MAP

S822 20230728 A F ASCENSION COMPLETE SACRED HEAR None PO BOX 10420 VAN NUYS CA 914100420 8336032971 MAP

S926 20230406 A D STERLING LIFE INSURANCE CO None 16 INTERNATIONAL WAY WARWICK RI 28861706 8006680010 PDP

T003 20220510 A F TUFTS MEDICARE PREFERRED None PO BOX 518 CANTON MA 20210518 8006334227 MAP

T004 20220914 A F THE MMM PLATINUM None 5755 BLUE LAGOON DR STE 450 MIAMI FL 331262015 8442129859 MAP

T005 20220914 A F TRILLIUM ADVANTAGE DUAL None PO BOX 11756 EUGENE OR 974403956 8448671156 MAP

T006 20221208 A F TROY MEDICARE FOR DUAL BENEFI None 615 S COLLEGE ST FL 10 CHARLOTTE NC 282023355 8884948769 MAP

T007 20221208 A F TUFTS HEALTH UNIFY None 26741 PORTOLA PKWY FOOTHILL RANCH CA 926101743 8553933154 MAP

T009 20221216 A F TRUE BLUE SPECIAL NEEDS PLAN None PO BOX 8406 BOISE ID 837072406 2082863675 MAP

T011 20221223 A F TUFTS HEALTH PLAN SENIOR CARE None PO BOX 524 CANTON MA 20210524 8556705934 MAP

T019 20210614 A P TEAMSTERS LOCAL 639 ATTN HEALTH CLAIMS 3100 AMES PL NE WASHINGTON DC 200181513 2026368181 PPO

T020 20220121 A F TRIIPLE S ADVANTAGE CONTIGO None PO BOX 363628 SAN JUAN PR 9363628 8886201919 MAP

T086 20161228 A P TEAMSTERS UNION LOC 315 ATTN HEALTH CLAIMS 2727 ALHAMBRA AVE MARTINEZ CA 945533120 5102282246 PPO

T127 20220106 A P TRUSTMARK INSURANCE COMPANY ATTN HEALTH CLAIMS PO BOX 7929 LAKE FOREST IL 600457929 8006543774 PPO

T144 20220712 A P TUFTS ASSOC HEALTH INC None PO BOX 9190 WATERTOWN MA 24719190 8888842404 HMO

T158 20230808 A F TRIBUTE ADVANTAGE None PO BOX 3630 LITTLE ROCK AR 722033630 8773721033 MAP

T162 20250114 A L STAR MARKETING ADMIN DENTAL ATTN HEALTH CLAIMS PO BOX 2980 CLINTON IA 527332980 8005221246 PPO

T167 20220712 A P TR PAUL INC (GROUP SERVICES) ATTN HEALTH CLAIMS 555 HERITAGE RD SOUTHBURY CT 64883846 2034268161 PPO

T174 20190320 A P TRANSWESTERN INSURANCE ADMIN ATTN HEALTH CLAIMS PO BOX 45019 FRESNO CA 937185019 8002218942 PPO

T206 20200325 A D TRIPLE S None 2760 AVE MARUCA PONCE PR 7284108 7877494949 PDP

T229 20160217 A P BCBS OF MINNESOTA ATTN HEALTH CLAIMS PO BOX 64338 SAINT PAUL MN 551640338 8662895154 PPO

T267 20220712 A P TRUSTEED PLANS SERV CORP ATTN HEALTH CLAIMS PO BOX 2950 TACOMA WA 984012950 2535645611 PPO

T279 20160217 A P BENEFIT & RISK MGMT SERVICES ATTN HEALTH CLAIMS PO BOX 2140 FOLSOM CA 957632140 8883262555 PPO

T281 20220106 A P TRUSTMARK LIFE INS COMPANY ATTN HEALTH CLAIMS PO BOX 2942 CLINTON IA 527332942 8005221246 PPO

T283 20190326 A C TRICARE FOR LIFE ATTN PGBA CLAIMS PO BOX 7890 MADISON WI 537077890 8667730404 HMO

T286 20220712 A P MAXOR ADMINISTRATIVE SERVICES ATTN: HEALTH CLAIMS PO BOX 32050 AMARILLO TX 791202050 8556296787 PPO

T290 20220712 A P TALL TREE ADMINISTRATORS ATTN: HEALTH CLAIMS 11550 S 700 E DRAPER UT 840204401 8774534201 PPO

T291 20220712 A P TEACHERS HEALTH TRUST None PO BOX 96238 LAS VEGAS NV 891936238 7027940272 PPO

T360 20160323 A F PEOPLES HEALTH ATTN: CLAIMS PO BOX 7890 METAIRIE LA 700107890 8006318443 MAP

U003 20230830 A F UNITED HEALTHCARE DUAL COMPLE None PO BOX 30508 SALT LAKE CITY UT 841300508 8445604944 MAP

U004 20230831 A F UNITED HEALTHCARE DUAL COMPLE None PO BOX 30769 SALT LAKE CITY UT 841300769 8669444983 MAP

U005 20230831 A F UNITED HEALTHCARE DUAL COMPLE None PO BOX 30769 SALT LAKE CITY UT 841300769 8668014409 MAP

U006 20220914 A F UNITED HEALTHCARE DUAL COMPLE None PO BOX 31364 SALT LAKE CITY UT 841310364 8005144912 MAP

U007 20160323 A F UNIVERSITY CARE ADVANTAGE None PO BOX 38549 PHOENIX AZ 850698549 8778743930 MAP

U008 20140123 A F UNITED HEALTH CARE None PO BOX 31362 SALT LAKE CITY UT 841310362 8004578506 MAP

U009 20140123 A F UNITED HEALTH CARE None PO BOX 31362 SALT LAKE CITY UT 841310362 8004578506 MAP

U011 20151125 A F UNITED HEALTH CARE None PO BOX 31362 SALT LAKE CITY UT 841310362 8004578506 MAP

U012 20140123 A F UNITED HEALTH CARE None PO BOX 31362 SALT LAKE CITY UT 841310362 8004578506 MAP

U013 20220118 A F UNITEDHEALTHCARE MEDICARE None PO BOX 30607 SALT LAKE CITY UT 841300607 8006434845 MAP

U014 20230831 A F UNITED HEALTHCARE MEDICARE None PO BOX 30607 SALT LAKE CITY UT 841300607 8663677527 MAP

U015 20220302 A F UCARE COMPLETE None PO BOX 52 MINNEAPOLIS MN 554400052 6126763600 MAP

U016 20220330 A F UNITEDHEALTHCARE MEDICARE None PO BOX 30995 SALT LAKE CITY UT 841300995 8007116088 MAP

U019 20220602 A F UPMC FOR LIFE HMO RX None 600 GRANT ST PITTSBURGH PA 152192702 8775393080 MAP

U021 20220914 A F UNITED HEALTHCARE DUAL COMPLE None PO BOX 30769 SALT LAKE CITY UT 841300769 8664801086 MAP

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U024 20220914 A F UNITEDHEALTHCARE DUAL COMPLET None PO BOX 30769 SALT LAKE CITY UT 841300769 8664801086 MAP

U025 20190723 A L UNICARE DENTAL ATTN DENTAL CLAIMS PO BOX 659444 SAN ANTONIO TX 782659444 8882097854 PPO

U027 20230831 A F UNITEDHEALTHCARE DUAL COMPLET None PO BOX 31364 SALT LAKE CITY UT 841310364 8448137804 MAP

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U038 20220914 A F UNITEDHEALTHCARE DUAL COMPLET None PO BOX 30769 SALT LAKE CITY UT 841300769 8446233105 MAP

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U069 20210614 A P UNITED FURNITURE WKRS INS FUND ATTN HEALTH CLAIMS 1910 AIR LANE DR NASHVILLE TN 372103810 6158898860 PPO

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U083 20221216 A F UCARE MINNESOTA SENIOR HEALTH None PO BOX 52 MINNEAPOLIS MN 554400052 6126766868 MAP

U084 20221216 A F UNITEDHEALTHCARE DUAL COMPLET None PO BOX 31365 SALT LAKE CITY UT 841310365 8448559776 MAP

U085 20221216 A F UNITEDHEALTHCARE MEDICARE COM None PO BOX 30884 SALT LAKE CITY UT 841300884 8007110646 MAP

U086 20221223 A F UHC CONNECTED MYCAREOHIO None PO BOX 8207 KINGSTON NY 124028207 8775429236 MAP

U087 20230417 A F UNITEDHEALTHCARE CHOICE FLEX None PO BOX 30884 SALT LAKE CITY UT 841300884 8662721967 MAP

U088 20221223 A F UHC NURSING HOME PLAN None PO BOX 5290 KINGSTON NY 124025290 8668709604 MAP

U089 20230104 A F UHC NURSING HOME PLAN None PO BOX 30555 SALT LAKE CITY UT 841300555 8665504736 MAP

U091 20230501 A F UPMC FOR LIFE HIGH DEDUCT RX None 600 GRANT ST PITTSBURGH PA 152192702 8775393080 MAP

U092 20240709 A P US HEALTH GROUP None 300 BURNETT ST STE 200 FORT WORTH TX 761022734 72511407 PPO

U116 20160119 A P UNITED FOOD & COMMERCIAL WKR ATTN HEALTH CLAIMS PO BOX 6010 CYPRESS CA 906300010 7142202297 PPO

U118 20220712 A P UNICARE HMO ATTN HEALTH CLAIMS 233 S WACKER DR CHICAGO IL 606067147 8005640938 HMO

U124 20160120 A P UNIFIED GROUP SERVICES INC. None PO BOX 10 PENDLETON IN 460640010 8002915837 PPO

U131 20230322 A F UCARE CONNECT PLUS MEDICARE None 500 STINSON BLVD MINNEAPOLIS MN 554132615 6126763310 MAP

U134 20220712 A P QUARTZ BENEFITS None 840 CAROLINA ST SAUK CITY WI 535831371 8003623310 PPO

U153 20160119 A L UNITED CONCORDIA None PO BOX 69421 HARRISBURG PA 171069421 8663573304 HMO

U156 20190301 A P UNITED HEALTHCARE HMO None PO BOX 30555 SALT LAKE CITY UT 841300555 8002486953 HMO

U178 20190723 A P UNITED AGRICULTURAL BENEFIT TRUST ATTN HEALTH CLAIMS 54 CORPORATE PARK IRVINE CA 926065105 8002234590 PPO

U185 20241223 A F UCLA HEALTH MEDICARE ADVANTAG E PO BOX 211622 EAGAN MN 551213622 8336278252 MAP

U188 20230327 A F BRAND NEW DAY None PO BOX 794 PARK RIDGE IL 600680794 8662554795 MAP

U199 20160329 A P UFCW JOINT TRUST FUND ATTN HEALTH CLAIMS PO BOX 6010 CYPRESS CA 906300010 7.1422E+12 PPO

U208 20210625 A P UTAH LABORERS HWTF ATTN HEALTH CLAIMS PO BOX 30262 SALT LAKE CITY UT 841300262 8019731010 PPO

U232 20160217 A P UNITED MINE WKRS OF AMERICA HEALTH/RETIREMENT FUNDS PO BOX 99002 LUBBOCK TX 794909002 8008438109 PPO

U236 20190320 A P US ABLE ADMIN ATTN HEALTH CLAIMS PO BOX 1460 LITTLE ROCK AR 722031460 8888988145 PPO

U259 20220712 A P US. BENEFITS ATTN HEALTH CLAIMS 1919 NE PACIFIC ST STE 100 PORTLAND OR 972322297 5032333888 PPO

U285 20210513 A P UNITED BEHAVIORAL HEALTH ATTN HEALTH CLAIMS PO BOX 30755 SALT LAKE CITY UT 841300755 8776140484 HMO

U287 20160204 A P UNITED MEDICAL RESOURCES INC ATTN HEALTH CLAIMS PO BOX 145804 CINCINNATI OH 452505804 5136193000 PPO

U295 20211118 A P UHA HEALTH INSURANCE None PO BOX 29590 HONOLULU HI 968201990 8004584600 PPO

U304 20150515 A C UNITED STATES DEPT OF VETERANS None PO BOX 149200 AUSTIN TX 787149200 8663721144 HMO

U396 20210614 A Q ENVOLVE PHARMACY SOLUTIONS None 5 E RIVER PARK PL E STE 210 FRESNO CA 937201560 8004137721 PPO

U398 20220712 A P UNIVERA HEALTHCARE ATTN: HEALTH CLAIMS PO BOX 23000 ROCHESTER NY 146923000 8772429464 PPO

U402 20200825 A P UPMC HEALTH PLAN None PO BOX 2999 PITTSBURGH PA 152302999 8669181595 PPO

U764 20230808 A F UNITED HEALTHCARE DUAL COMPLET None 475 KILVERT ST STE 310 WARWICK RI 28861360 8002912634 MAP

V003 20220610 A F VIBRA HEALTH PLAN ENHANCED None PO BOX 21199 EAGAN MN 551210199 8443888268 MAP

V004 20220914 A F VANTAGE DUAL PLUS None PO BOX 1270 LAWRENCE KS 660448270 3183610900 MAP

V005 20220914 A F VIRGINIA PREMIER ADVANTAGE EL None PO BOX 4250 RICHMOND VA 232208250 8048195151 MAP

V006 20220914 A F VIVA MEDICARE EXTRA VALUE None 301 GOVERNORS DR SW # 5213 HUNTSVILLE AL 358015123 2059182067 MAP

V007 20221208 A F VERMONT BLUE ADVANTAGE FREEDO None PO BOX 260755 PLANO TX 750260755 8448395125 MAP

V008 20221216 A F VANTAGE BASIC None 122 SAINT JOHN ST MONROE LA 712017370 3183610900 MAP

V009 20230601 A F VNSNY CHOICE TOTAL None PO BOX 4498 SCRANTON PA 185056498 8667831444 MAP

V010 20190417 A E AETNA VISION None PO BOX 14079 LEXINGTON KY 405124079 8887729682 PPO

V012 20201113 A E ANTHEM BLUE CROSS VISION None PO BOX 8504 MASON OH 450407111 8004211880 PPO

V020 20160217 A P VENTURA COUNTY HEALTH CARE None 2220 E GONZALES RD STE 210B OXNARD CA 930368294 8006008247 HMO

V025 20160914 A P BEACON HEALTH OPTIONS ATTN HEALTH CLAIMS PO BOX 1347 LATHAM NY 121108847 80039716303 PPO

V039 20200319 A P VALLEY HEALTH PLAN HMO None PO BOX 26160 SAN JOSE CA 951596160 8884218444 HMO

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V086 20190417 A E EYE MED ATTN HEALTH CLAIMS PO BOX 8504 CINCINNATI OH 452080504 8885813648 HMO

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W011 20220914 A F WELLCARE DUAL ACCESS None PO BOX 31370 TAMPA FL 336313370 8334449089 MAP

W012 20220914 A F WELLCARE DUAL ACCESS None PO BOX 31370 TAMPA FL 336313370 8663309368 MAP

W014 20220914 A F WELLCARE DUAL ACCESS None PO BOX 31370 TAMPA FL 336313370 8334026707 MAP

W015 20220914 A F WELLCARE DUAL ACCESS None PO BOX 31370 TAMPA FL 336313370 8557661452 MAP

W016 20230526 A F WELLCARE DUAL ACCESS MEDICARE None PO BOX 31370 TAMPA FL 336313370 8332604124 MAP

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W018 20220914 A F WELLCARE DUAL ACCESS OPEN None PO BOX 31370 TAMPA FL 336313370 8334449089 MAP

W019 20220914 A F WELLCARE DUAL LIBERTY None PO BOX 31370 TAMPA FL 336313370 8334449089 MAP

W020 20230830 A F WELLCARE DUAL LIBERTY None PO BOX 31370 TAMPA FL 336313370 8334449089 MAP

W021 20220914 A F WELLCARE DUAL LIBERTY None PO BOX 31370 TAMPA FL 336313370 8334449089 MAP

W022 20220914 A F WELLCARE DUAL LIBERTY None PO BOX 31370 TAMPA FL 336313370 8334449089 MAP

W023 20220914 A F WELLCARE DUAL LIBERTY None PO BOX 31370 TAMPA FL 336313370 8668928340 MAP

W024 20220914 A F WELLCARE DUAL LIBERTY None PO BOX 31370 TAMPA FL 336313370 8334449089 MAP

W025 20220914 A F WELLCARE DUAL LIBERTY None PO BOX 31370 TAMPA FL 336313370 8665270056 MAP

W026 20220914 A F WELLCARE DUAL LIBERTY None PO BOX 31370 TAMPA FL 336313370 8668928340 MAP

W027 20220914 A F WELLCARE DUAL PINNACLE None PO BOX 31370 TAMPA FL 336313370 8334449089 MAP

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W032 20220914 A F WELLCARE IMPERIAL None PO BOX 31370 TAMPA FL 336313370 8669993945 MAP

W033 20220914 A F WELLCARE LIBERTY None PO BOX 31370 TAMPA FL 336313370 8334449089 MAP

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W049 20221208 A F WELLCARE NO PREMIUM None PO BOX 31224 TAMPA FL 336313224 8334449088 MAP

W050 20221208 A F WELLCARE OHANA PATRIOT GIVEBA None PO BOX 31370 TAMPA FL 336313370 8774577621 MAP

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W065 20230322 A F WELLCARE BY ALLWELL None PO BOX 10420 VAN NUYS CA 914100420 8449230072 MAP

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W090 20220610 A F WELLCARE PREMIER (NY) None PO BOX 31224 TAMPA FL 336313224 8334449088 MAP

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W132 20220712 A P WESTERN GROWERS ASSUR TRUST ATTN HEALTH CLAIMS PO BOX 2220 NEWPORT BEACH CA 926588952 8007777898 PPO

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W268 20220712 A P LABOR ALLIANCE MTF ATTN HEALTH CLAIMS PO BOX 757 PLEASANTON CA 945660075 9099801194 PPO

W819 20211118 A P WISCONSIN PHYSICIAN SERVICE None PO BOX 8190 MADISON WI 537088190 8668416575 HMO

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Z004 20230510 A F ZING COMPLETE PLUS MI None 225 W WASHINGTON ST STE 450 CHICAGO IL 606063520 8669464458 MAP

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Z009 20220712 A P ZENITH ADMIN ATTN HEALTH CLAIMS 11724 NE 195TH ST STE 300 BOTHELL WA 980113568 8004265980 PPO

Z078 20211020 A P ZENITH AMERICAN SOLUTIONS ATTN HEALTH CLAIMS 302 KNIGHTS RUN AVE STE 1100 TAMPA FL 336025987 8136666900 PPO

Z343 20211020 A P ULTRABENEFITS INC ATTN HEALTH CLAIMS 100 NORTH PKWY STE 302 WORCESTER MA 16051354 8668587223 PPO

Z475 20200326 A P ZENITH ADMINISTRATORS ATTN HEALTH CLAIMS 580 CALIFORNIA ST FL 21ST SAN FRANCISCO CA 941041000 8003880508 PPO